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General NPI Number Information
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NPI Number | 1497294086
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Entity Type | Individual
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Provider Name | ROXANNE NOTTE
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Gender | Female
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 2110 BAYBERRY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-1405
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Country | US
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Telephone | 954-274-5295
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 BAYBERRY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-1405
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Country | US
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Telephone | 954-274-5295
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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 | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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