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General NPI Number Information
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NPI Number | 1083726400
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Entity Type | Individual
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Provider Name | JAWAHAR PALANIAPPAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 4915 SOUTH CONGRESS AVE STE B & C
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City | LAKE WORTH
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State | FL
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Zip | 33461-3346
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Country | US
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Telephone | 561-967-1046
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Fax | 561-967-0167
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Provider Business Mailing Address
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Address Line | 3345 BURNS RD STE 105
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4304
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Country | US
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Telephone | 561-626-1881
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Fax | 561-721-8605
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35.045420
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License Number State | OH
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