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General NPI Number Information
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NPI Number | 1750669685
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Entity Type | Individual
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Provider Name | REBEKAH L DECHON RN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 04/20/2013
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Provider Practice Location Address
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Address Line | 3840 STATE ROAD 436 SUITE 1000
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City | APOPKA
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State | FL
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Zip | 32703-6197
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Country | US
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Telephone | 407-478-3202
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Fax |
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Provider Business Mailing Address
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Address Line | 15652 AVENUE OF THE ARBORS
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City | WINTER GARDEN
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State | FL
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Zip | 34787-8779
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Country | US
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Telephone | 361-949-7701
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 627422
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 9353370
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License Number State | FL
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