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General NPI Number Information
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NPI Number | 1366226565
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Entity Type | Organization
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Legal Business Name | QUICK DIAGNOSIS LLC
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 693 NE 167TH ST
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City | MIAMI
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State | FL
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Zip | 33162-2402
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Country | US
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Telephone | 561-299-0496
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 NE 177TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1448
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Country | US
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Telephone | 443-660-6712
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | RANDI RACHEL BERKOWITZ
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Credential | APRN
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Telephone | 443-660-6712
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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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