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General NPI Number Information
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NPI Number | 1063689610
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Entity Type | Organization
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Legal Business Name | FLORIDA KEYS NURSE REGISTRY
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 3434 RIVIERA DR
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City | KEY WEST
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State | FL
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Zip | 33040-4611
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Country | US
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Telephone | 305-296-9997
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Fax | 305-295-0395
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Provider Business Mailing Address
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Address Line | 3434 RIVIERA DR
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City | KEY WEST
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State | FL
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Zip | 33040-4611
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Country | US
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Telephone | 305-296-9997
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Fax | 305-295-0395
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. MARCIA PETERS
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Credential | RN
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Telephone | 305-296-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 3016096
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License Number State | FL
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