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General NPI Number Information
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NPI Number | 1891511127
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Entity Type | Organization
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Legal Business Name | CONNECT & THRIVE
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 628 NW 47TH TER
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9337
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Country | US
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Telephone | 408-422-7119
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Fax |
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Provider Business Mailing Address
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Address Line | 628 NW 47TH TER
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9337
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Country | US
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Telephone | 408-422-7119
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | IBETT ESTEPHANIE GARCIA
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Credential | RN
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Telephone | 408-422-7119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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