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General NPI Number Information
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NPI Number | 1467876698
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Entity Type | Individual
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Provider Name | RANDI RACHEL BERKOWITZ FNP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 1815 GRIFFIN RD STE 204
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City | DANIA BEACH
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State | FL
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Zip | 33004-2252
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Country | US
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Telephone | 954-624-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 S PINE ISLAND RD STE 300
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City | PLANTATION
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State | FL
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Zip | 33324-4463
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9498902
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 595201
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 338487
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11000223
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC002586
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License Number State | MD
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