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General NPI Number Information
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NPI Number | 1508461252
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Entity Type | Organization
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Legal Business Name | RHEMA FAMILY PRACTICE
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 10305 NW 6TH ST
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City | PLANTATION
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State | FL
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Zip | 33324-1617
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Country | US
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Telephone | 754-246-8414
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Fax |
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Provider Business Mailing Address
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Address Line | 10305 NW6TH STREET,PLANTATION.FL-33324
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City | PLANTATION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 754-246-8414
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Fax |
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Authorized Official
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Title or Position | ARNP., FNP BC
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Name | BEENA K BIJOY
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Credential | NURSE PRACTITIONER
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Telephone | 754-246-8414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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