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General NPI Number Information
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NPI Number | 1063078772
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Entity Type | Organization
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Legal Business Name | THE HEALTH INSTITUTE, LLC.
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 6699 N FEDERAL HWY STE 200
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City | BOCA RATON
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State | FL
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Zip | 33487-1660
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Country | US
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Telephone | 561-264-2188
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Fax | 844-770-7760
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Provider Business Mailing Address
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Address Line | 222 W YAMATO RD STE 101-106
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City | BOCA RATON
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State | FL
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Zip | 33431-4704
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Country | US
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Telephone | 561-264-2188
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Fax | 844-770-7760
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Authorized Official
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Title or Position | DO
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Name | MAX CITRIN
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Credential | DO
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Telephone | 561-264-2188
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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 |
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License Number State |
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