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General NPI Number Information
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NPI Number | 1134713142
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Entity Type | Organization
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Legal Business Name | HLG MEDICAL INC
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Dates
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Enumeration Date | 02/22/2021
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 7783 CANNON BALL RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7808
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Country | US
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Telephone | 561-512-8681
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Fax | 949-561-4589
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Provider Business Mailing Address
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Address Line | 7783 CANNON BALL RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7808
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Country | US
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Telephone | 561-512-8681
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Fax | 949-561-4589
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Authorized Official
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Title or Position | NURSE PRACTITIONER/PROVIDER
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Name | DR. HEIDI LYNN GARGUILO
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Credential | DNP
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Telephone | 561-512-8681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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