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General NPI Number Information
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NPI Number | 1730800277
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Entity Type | Organization
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Legal Business Name | BRICKELL RHEUMATOLOGY INC
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 40 SW 13TH ST STE 402
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City | MIAMI
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State | FL
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Zip | 33130-4343
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Country | US
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Telephone | 305-928-6001
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Fax | 305-928-6001
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Provider Business Mailing Address
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Address Line | 40 SW 13TH ST STE 402
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City | MIAMI
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State | FL
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Zip | 33130-4343
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Country | US
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Telephone | 305-928-6001
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Fax | 305-928-6001
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Authorized Official
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Title or Position | OWNER
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Name | DR. BOJANA JOVANOVIC
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Credential | MD
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Telephone | 305-928-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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