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General NPI Number Information
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NPI Number | 1316402076
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Entity Type | Individual
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Provider Name | REBECCA LURIE
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Gender | Female
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 2257 US HIGHWAY 441 N STE A
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1943
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Country | US
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Telephone | 863-467-4788
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Fax | 888-494-2314
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Provider Business Mailing Address
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Address Line | 2257 US HIGHWAY 441 N STE A
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1943
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Country | US
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Telephone | 863-467-4788
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Fax | 888-494-2314
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 66988
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License Number State | NM
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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 | 11001312
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License Number State | FL
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