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General NPI Number Information
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NPI Number | 1992274104
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Entity Type | Individual
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Provider Name | ROSE BERNARD BRUTUS BUTLER APRN, PHMNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/16/2018
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 10300 SW 216TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33190-1003
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Country | US
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Telephone | 305-252-4820
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Fax |
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Provider Business Mailing Address
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Address Line | 16560 SW 102ND PL ROSEBIE02@GMAIL.COM
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City | MIAMI
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State | FL
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Zip | 33157
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Country | US
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Telephone | 786-712-2285
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11040754
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 9493726
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License Number State | FL
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