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General NPI Number Information
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NPI Number | 1023986908
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Entity Type | Individual
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Provider Name | JEAN PIERRE VAVAL LAFARGUE
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Gender | Male
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 2580 METROCENTRE BLVD STE 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3100
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Country | US
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Telephone | 561-507-4935
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Fax |
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Provider Business Mailing Address
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Address Line | 1085 THE POINTE DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1911
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Country | US
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Telephone | 561-507-4935
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | CCHW.0100418
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License Number State | FL
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