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General NPI Number Information
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NPI Number | 1407531437
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Entity Type | Individual
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Provider Name | REBEKAH ANNE WARREN RRT
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 1670 ST VINCENTS WAY
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City | MIDDLEBURG
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State | FL
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Zip | 32068-8447
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Country | US
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Telephone | 904-602-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 668 TRADERS HILL RD
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City | FOLKSTON
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State | GA
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Zip | 31537-5712
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Country | US
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Telephone | 912-496-6274
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Fax |
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RT6689
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License Number State | FL
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