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General NPI Number Information
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NPI Number | 1942942677
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Entity Type | Organization
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Legal Business Name | RAPID RESPONSE MEDICAL LLC
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 2093 SE FERN PARK DR
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-8005
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Country | US
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Telephone | 772-486-1135
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Fax | 772-673-4623
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Provider Business Mailing Address
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Address Line | 2093 SE FERN PARK DR
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-8005
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Country | US
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Telephone | 772-486-1135
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Fax | 772-673-4623
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | CARL ABDENROTH
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Credential | DC
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Telephone | 772-486-1135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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