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General NPI Number Information
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NPI Number | 1790270189
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Entity Type | Organization
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Legal Business Name | BOCA RATON FIRST ASSIST, PLLC
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 19885 GOLDEN BRIDGE TRAIL
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City | BOCA RATON
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State | FL
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Zip | 33498
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Country | US
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Telephone | 407-702-5798
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Fax | 877-900-5188
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Provider Business Mailing Address
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Address Line | 19885 GOLDEN BRIDGE TRAIL
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City | BOCA RATON
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State | FL
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Zip | 33498
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Country | US
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Telephone | 407-702-5798
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Fax | 877-900-5188
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Authorized Official
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Title or Position | OWNER/MGR.
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Name | MRS. JENNIFER ANN KULIK
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Credential | RNFA
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Telephone | 407-702-5798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number |
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License Number State |
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