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NPI Code Detail

MEDICARE: REBECCA G PARISH RN

MEDICARE: REBECCA G PARISH RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseRN1433192FL

General Provider Information

NPI Number : 1669445417
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA G PARISH RN
Provider Business Mailing Address
First Line : 1290 GOLFVIEW AVE
Second Line : BILLING DEPARTMENT
City : BARTOW
State : FL
Zip : 33830-6738
Country : US
Telephone Number : 863-519-7900
Fax Number : 863-519-7696
Provider Business Practice Location Address
First Line : 3241 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-2266
Country : US
Telephone Number : 863-413-2620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 07/08/2007

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