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General NPI Number Information
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NPI Number | 1326799537
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Entity Type | Organization
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Legal Business Name | SCARLETT ROSE COVID TESTING
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 4101 S HOSPITAL DR STE 15
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City | PLANTATION
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State | FL
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Zip | 33317-2830
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Country | US
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Telephone | 305-879-4782
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Fax |
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Provider Business Mailing Address
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Address Line | 2733 NW 202ND LN
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-2132
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Country | US
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Telephone | 305-879-4782
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAWNETTE E PATTERSON-LEWIS
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Credential | APRN
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Telephone | 305-879-4782
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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