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General NPI Number Information
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NPI Number | 1083512842
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Entity Type | Organization
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Legal Business Name | CHANGE INSTITUTE INC
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Dates
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Enumeration Date | 10/29/2026
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Last Update Date | 10/29/2026
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Provider Practice Location Address
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Address Line | 2494 NW 66TH DR
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City | BOCA RATON
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State | FL
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Zip | 33496-2001
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Country | US
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Telephone | 212-989-1290
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Fax | 213-635-1506
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Provider Business Mailing Address
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Address Line | 2494 NW 66TH DR
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City | BOCA RATON
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State | FL
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Zip | 33496-2001
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Country | US
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Telephone | 212-989-1290
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Fax | 213-635-1506
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Authorized Official
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Title or Position | MEMBER
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Name | MR. BRAD D LAMM
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Credential | CIP
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Telephone | 212-989-9332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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