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General NPI Number Information
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NPI Number | 1982178323
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Entity Type | Individual
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Provider Name | ROSEMARY KOEHL LEE ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 6855 S RED RD
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3647
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Country | US
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Telephone | 786-527-9830
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 SE 23RD TER
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City | HOMESTEAD
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State | FL
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Zip | 33035-1906
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Country | US
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Telephone | 305-310-4509
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | ARNP1296292
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License Number State | FL
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