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General NPI Number Information
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NPI Number | 1104485754
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Entity Type | Organization
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Legal Business Name | GOTHRIG HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 2331 N STATE ROAD 7 STE 207
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-3772
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Country | US
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Telephone | 954-530-6558
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Fax | 954-769-1576
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Provider Business Mailing Address
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Address Line | 2862 BELLAROSA CIR
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1462
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Country | US
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Telephone | 757-613-5943
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EGLINTINE RIGAUD
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Credential | APRN, PHD
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Telephone | 954-530-6558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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