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General NPI Number Information
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NPI Number | 1316260987
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Entity Type | Organization
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Legal Business Name | URAIRONG RATTANAKORN ARNP INC
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Dates
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Enumeration Date | 03/10/2010
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 7031 SW 62ND AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4701
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Country | US
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Telephone | 305-284-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 14001 NW 4TH ST SUITE 202
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2297
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Country | US
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Telephone | 786-556-1422
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Fax | 954-391-9687
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Authorized Official
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Title or Position | OWNER
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Name | URAIRONG RATTANAKORN
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Credential | ARNP
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Telephone | 786-556-1422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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