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General NPI Number Information
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NPI Number | 1083348692
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Entity Type | Organization
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Legal Business Name | OCEANA COMMUNITY HEALTH INC
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 2828 S SEACREST BLVD STE 208
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7944
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Country | US
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Telephone | 855-479-4404
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Fax | 772-255-3565
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Provider Business Mailing Address
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Address Line | 229 NW 15TH ST
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City | BOCA RATON
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State | FL
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Zip | 33432-1515
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. YOUSSEF MOTII
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Credential | PHD
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Telephone | 855-479-4404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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