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General NPI Number Information
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NPI Number | 1053701714
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Entity Type | Organization
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Legal Business Name | BOCA INJURY & WELLNESS
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 6201 N FEDERAL HWY STE 5&6
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City | BOCA RATON
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State | FL
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Zip | 33487-3200
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Country | US
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Telephone | 561-409-4840
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Fax | 561-409-4578
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Provider Business Mailing Address
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Address Line | 6201 N FEDERAL HWY STE 5&6
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City | BOCA RATON
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State | FL
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Zip | 33487-3200
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Country | US
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Telephone | 561-409-4840
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Fax | 561-409-4578
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE FRENCH
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Credential |
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Telephone | 561-409-4840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | CH7762
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License Number State | FL
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