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General NPI Number Information
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NPI Number | 1912213786
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Entity Type | Organization
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Legal Business Name | PEDRO MUSA RIS, M.D. P.A.
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 510 SW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33135-2971
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Country | US
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Telephone | 305-649-6199
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Fax | 305-649-6566
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Provider Business Mailing Address
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Address Line | 510 SW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33135-2971
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Country | US
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Telephone | 305-649-6199
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Fax | 305-649-6566
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Authorized Official
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Title or Position | OWNER
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Name | PEDRO MUSA RIS
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Credential | M.D.
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Telephone | 305-649-6199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME14082
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License Number State | FL
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