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General NPI Number Information
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NPI Number | 1912643990
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Entity Type | Organization
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Legal Business Name | RIOBEL MEDSPA AND WELLNESS
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 10967 LAKE UNDERHILL RD STE 107
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City | ORLANDO
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State | FL
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Zip | 32825-4434
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Country | US
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Telephone | 407-973-4537
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Fax | 407-264-8367
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Provider Business Mailing Address
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Address Line | 10967 LAKE UNDERHILL RD STE 107
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City | ORLANDO
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State | FL
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Zip | 32825-4434
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Country | US
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Telephone | 407-704-9859
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. SULMA ROSARIO
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Credential |
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Telephone | 407-704-9859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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