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General NPI Number Information
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NPI Number | 1679724496
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Entity Type | Individual
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Provider Name | ROSEMARIE M KELLY ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 100 S BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33131-2011
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Country | US
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Telephone | 954-433-1267
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Fax |
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Provider Business Mailing Address
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Address Line | 13436 SW 27TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-3877
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Country | US
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Telephone | 954-593-2293
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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 | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | ARNP2118172
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP2118172
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License Number State | FL
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