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General NPI Number Information
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NPI Number | 1225209919
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Entity Type | Organization
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Legal Business Name | NIERMALA RATTAN-WASHINGTON,M.D.,P.A.
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 3511 NW 8TH AVE SUITE 2
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City | POMPANO BEACH
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State | FL
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Zip | 33064-3055
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Country | US
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Telephone | 954-783-0621
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Fax | 954-255-5607
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Provider Business Mailing Address
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Address Line | 2137 SEA PINES WAY
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7738
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Country | US
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Telephone | 954-288-4481
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Fax | 954-783-0622
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NIERMALA WASHINGTON
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Credential | M.D.
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Telephone | 954-288-4481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME90568
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License Number State | FL
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