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NPI 1336950831

NPI 1336950831 : BREVARD RHEUMATOLOGY & ARTHRITIS CENTER : MELBOURNE, FL

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General NPI Number Information
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    NPI Number           |    1336950831
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    Entity Type          |    Organization 
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    Legal Business Name  |    BREVARD RHEUMATOLOGY & ARTHRITIS CENTER 
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Dates
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    Enumeration Date     |    01/15/2025
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    Last Update Date     |    01/15/2025
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Provider Practice Location Address
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    Address Line         |    2955 PINEDA PLAZA WAY STE 107 
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    City                 |    MELBOURNE
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    State                |    FL
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    Zip                  |    32940-7306
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    Country              |    US
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    Telephone            |    321-850-2850
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    Fax                  |    321-850-2852
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Provider Business Mailing Address
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    Address Line         |    2940 TRASONA DR 
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    City                 |    VIERA
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    State                |    FL
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    Zip                  |    32940-7686
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    Country              |    US
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    Telephone            |    321-850-2850
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    Fax                  |    321-850-2852
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. VARINDER  KUMAR 
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    Credential           |    MD
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    Telephone            |    203-917-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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