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General NPI Number Information
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NPI Number | 1043463300
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Entity Type | Organization
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Legal Business Name | JUPITER WEST MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 7171 N UNIVERSITY DR 100
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City | TAMARAC
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State | FL
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Zip | 33321-2902
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Country | US
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Telephone | 561-624-2706
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Fax | 561-630-3948
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Provider Business Mailing Address
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Address Line | 2632 W INDIANTOWN RD
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City | JUPITER
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State | FL
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Zip | 33458-5889
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Country | US
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Telephone | 561-624-2706
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Fax | 561-630-3948
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MS. ELAINE OSWALD
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Credential | R.N.
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Telephone | 561-624-2706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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