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General NPI Number Information
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NPI Number | 1063688406
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Entity Type | Individual
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Provider Name | BERNICE MCCRAE
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Gender | Female
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 1311 NW 98TH TER
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City | MIAMI
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State | FL
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Zip | 33147-2663
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Country | US
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Telephone | 305-696-5106
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Fax |
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Provider Business Mailing Address
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Address Line | 1311 NW 98TH TER
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City | MIAMI
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State | FL
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Zip | 33147-2663
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Country | US
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Telephone | 305-696-5106
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | CHS 0307-701-88
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License Number State | FL
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