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General NPI Number Information
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NPI Number | 1225898885
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Entity Type | Organization
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Legal Business Name | RAFAEL MESTRE FAMILY PRACTICE, LLC
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 30231 SW 148TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33033-3836
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Country | US
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Telephone | 786-307-5292
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Fax |
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Provider Business Mailing Address
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Address Line | 30231 SW 148TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33033-3836
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAFAEL MESTRE
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Credential | APRN
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Telephone | 786-307-5292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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