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General NPI Number Information
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NPI Number | 1982922811
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Entity Type | Individual
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Provider Name | OSMAN ROMAN WEVER S.A.C.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 11760 BIRD RD SUITE 722
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City | MIAMI
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State | FL
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Zip | 33175-3582
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Country | US
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Telephone | 305-559-1883
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Fax | 305-559-1887
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Provider Business Mailing Address
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Address Line | 2549 JARDIN LN
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City | WESTON
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State | FL
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Zip | 33327-1510
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Country | US
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Telephone | 954-865-0329
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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