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General NPI Number Information
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NPI Number | 1538551643
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Entity Type | Organization
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Legal Business Name | GARIKO CORPORATION
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Dates
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Enumeration Date | 02/26/2015
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 2800 SW 154TH LN
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City | DAVIE
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State | FL
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Zip | 33331-1518
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Country | US
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Telephone | 305-495-9867
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Fax | 954-885-6381
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Provider Business Mailing Address
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Address Line | PO BOX 825662
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City | PEMBROKE PINES
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State | FL
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Zip | 33082-5662
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Country | US
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Telephone | 305-495-9867
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Fax | 954-885-6381
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Authorized Official
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Title or Position | OWNER
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Name | RANCEL RODRIGUEZ
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Credential | ARNP
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Telephone | 305-495-9867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9245140
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License Number State | FL
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