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General NPI Number Information
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NPI Number | 1902275738
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Entity Type | Organization
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Legal Business Name | ENRIQUE ROSARIO DPM, INC.
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 1681 E 5TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-3252
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Country | US
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Telephone | 786-488-6470
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Fax |
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Provider Business Mailing Address
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Address Line | 1681 E 5TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-3252
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Country | US
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Telephone | 786-488-6470
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ENRIQUE ROSARIO ALOMA
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Credential | DPM
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Telephone | 786-488-6470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3758
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License Number State | FL
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