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General NPI Number Information
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NPI Number | 1447482278
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Entity Type | Individual
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Provider Name | BRIANNA CHRISTINE RHUE O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 7822 N UNIVERSITY DR
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City | TAMARAC
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State | FL
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Zip | 33321-2114
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Country | US
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Telephone | 954-726-0204
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Fax | 954-721-1578
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Provider Business Mailing Address
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Address Line | 9430 TANGERINE PL APT 302
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City | DAVIE
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State | FL
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Zip | 33324-4427
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Country | US
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Telephone | 520-940-3081
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 004451
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License Number State | FL
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