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General NPI Number Information
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NPI Number | 1568035475
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Entity Type | Individual
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Provider Name | RACHEL DUFRESNE
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Gender | Female
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 7971 RIVIERA BLVD STE 407
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City | MIRAMAR
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State | FL
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Zip | 33023-6450
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Country | US
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Telephone | 786-508-2163
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Fax |
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Provider Business Mailing Address
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Address Line | 548 NE 5TH TER
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City | FLORIDA CITY
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State | FL
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Zip | 33034-3294
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Country | US
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Telephone | 786-326-6110
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW22996
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License Number State | FL
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