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General NPI Number Information
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NPI Number | 1992231070
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Entity Type | Individual
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Provider Name | DR. GUILLERMO J RUMBOS
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Gender | Male
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 7190 SW 87TH AVE STE 404
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City | MIAMI
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State | FL
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Zip | 33173-2512
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Country | US
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Telephone | 305-692-0163
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Fax |
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Provider Business Mailing Address
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Address Line | 8025 SW 100TH ST
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City | MIAMI
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State | FL
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Zip | 33156-2523
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Country | US
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Telephone | 786-779-7676
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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 | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | ABSA 16-420
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License Number State | FL
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