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General NPI Number Information
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NPI Number | 1417292509
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Entity Type | Individual
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Provider Name | IRINA RAFAILOVNA ROZENFELD APRN, DNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2012
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 3321 COLLEGE AVE # 405
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City | DAVIE
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State | FL
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Zip | 33314-7705
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Country | US
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Telephone | 954-262-2850
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Fax | 954-262-3850
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Provider Business Mailing Address
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Address Line | 3200 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33328-2018
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Country | US
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Telephone | 954-262-4317
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Fax | 954-262-2269
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9276644
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9276644
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License Number State | FL
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