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General NPI Number Information
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NPI Number | 1144512054
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Entity Type | Organization
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Legal Business Name | RAHONIE PERSAUD-EVANS INC
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 3580 S OCEAN BLVD 2A
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City | PALM BEACH
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State | FL
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Zip | 33480-5787
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Country | US
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Telephone | 561-714-2384
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Fax | 561-582-1327
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Provider Business Mailing Address
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Address Line | 3580 S OCEAN BLVD 2A
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City | PALM BEACH
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State | FL
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Zip | 33480-5787
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Country | US
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Telephone | 561-714-2384
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAHONIE P EVANS
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Credential | ARNP
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Telephone | 561-714-2384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 9175604
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License Number State | FL
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