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General NPI Number Information
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NPI Number | 1073828984
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Entity Type | Organization
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Legal Business Name | PATIENTS FIRST FAMILY PRACTICE AND URGENT CARE LLC
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 409 S DIXIE HWY
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City | LAKE WORTH
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State | FL
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Zip | 33460-4442
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Country | US
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Telephone | 561-582-5433
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Fax | 561-585-0074
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Provider Business Mailing Address
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Address Line | 409 S DIXIE HWY
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City | LAKE WORTH
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State | FL
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Zip | 33460-4442
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Country | US
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Telephone | 561-582-5433
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Fax | 561-585-0074
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JANET W RADFORD
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Credential | ARNP
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Telephone | 561-452-8580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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