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General NPI Number Information
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NPI Number | 1922168145
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Entity Type | Organization
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Legal Business Name | ROBERT RADEN MD LLC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 5130 LINTON BLVD F7
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6596
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Country | US
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Telephone | 561-499-8830
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Fax | 561-637-8077
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Provider Business Mailing Address
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Address Line | 5130 LINTON BLVD F7
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6596
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Country | US
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Telephone | 561-499-8830
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Fax | 561-637-8077
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT RADEN
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Credential | M.D.
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Telephone | 561-499-8830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME 93297
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License Number State | FL
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