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General NPI Number Information
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NPI Number | 1023325131
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Entity Type | Organization
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Legal Business Name | HEALTHONE INC
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 1413 S POWERLINE RD
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4315
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Country | US
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Telephone | 954-974-1105
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Fax | 954-917-1939
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Provider Business Mailing Address
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Address Line | 1413 S POWERLINE RD
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4315
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Country | US
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Telephone | 954-974-1105
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Fax | 954-917-1939
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Authorized Official
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Title or Position | CEO
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Name | MR. ALEX ALVAREZ
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Credential |
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Telephone | 954-974-1105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | HCC8860
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License Number State | FL
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