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General NPI Number Information
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NPI Number | 1235917907
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Entity Type | Organization
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Legal Business Name | BB HEALTH FIRST LLC
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 5965 STIRLING RD
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City | DAVIE
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State | FL
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Zip | 33314-7225
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Country | US
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Telephone | 786-954-7444
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 S PINE ISLAND RD
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City | DAVIE
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State | FL
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Zip | 33328-5935
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Country | US
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Telephone | 754-242-2807
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Fax |
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Authorized Official
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Title or Position | MANAGER/PROVIDER
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Name | BARNETTE BENOIT
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Credential | APRN
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Telephone | 754-242-2807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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