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General NPI Number Information
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NPI Number | 1134417124
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Entity Type | Organization
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Legal Business Name | KEY WEST FAMILY PRACTICE, PLLC
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 3420 DUCK AVE
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City | KEY WEST
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State | FL
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Zip | 33040-4427
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Country | US
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Telephone | 305-296-5358
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Fax | 305-293-1146
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Provider Business Mailing Address
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Address Line | 3420 DUCK AVE
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City | KEY WEST
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State | FL
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Zip | 33040-4427
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Country | US
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Telephone | 305-296-5358
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Fax | 305-293-1146
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | RABECCA ASHLEY HOYT
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Credential |
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Telephone | 305-296-5358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP922
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA25088
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License Number State | FL
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