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General NPI Number Information
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NPI Number | 1952792806
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Entity Type | Organization
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Legal Business Name | REIMON PEDIATRICS PA
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 13155 SW 42ND ST SUITE 106
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City | MIAMI
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State | FL
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Zip | 33175-3428
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Country | US
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Telephone | 305-220-1310
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Fax | 305-220-1323
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Provider Business Mailing Address
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Address Line | 13155 SW 42ND ST SUITE 106
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City | MIAMI
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State | FL
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Zip | 33175-3428
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Country | US
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Telephone | 305-220-1310
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Fax | 305-220-1323
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. PEDRO CARLOS REIMON
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Credential | MD
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Telephone | 305-220-1310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME58770
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License Number State | FL
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