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General NPI Number Information
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NPI Number | 1992884134
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Entity Type | Individual
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Provider Name | REGINEE BAUTISTA BROMSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 12/31/2012
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Provider Practice Location Address
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Address Line | 1906 CLINT MOORE RD
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City | BOCA RATON
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State | FL
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Zip | 33496-2663
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Country | US
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Telephone | 561-893-6872
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Fax |
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Provider Business Mailing Address
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Address Line | 1331 SE 14TH CT
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-7327
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Country | US
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Telephone | 954-570-6802
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP 3220762
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License Number State | FL
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