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General NPI Number Information
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NPI Number | 1538136478
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Entity Type | Organization
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Legal Business Name | KATHLEEN S RATHBUN INC
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4971 LE CHALET BLVD STE 300
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City | BOUNTON BEACH
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State | FL
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Zip | 33436
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Country | US
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Telephone | 561-432-1544
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Fax | 561-737-8960
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Provider Business Mailing Address
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Address Line | 4971 LE CHALET BLVD STE 300
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City | BOUNTON BEACH
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State | FL
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Zip | 33436
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Country | US
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Telephone | 561-432-1544
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Fax | 561-737-8960
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SHARON D MCCONNELL
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Credential |
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Telephone | 561-737-8960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | OS7267
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License Number State | FL
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