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General NPI Number Information
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NPI Number | 1144165218
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Entity Type | Organization
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Legal Business Name | PALM BEACH PEDIATRICS, LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 6975 TAFT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-3801
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Country | US
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Telephone | 561-509-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 PALM BEACH LAKES BLVD STE 901
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6506
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Country | US
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Telephone | 561-509-5009
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Fax |
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | ALEXANDRA GRAY
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Credential |
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Telephone | 561-509-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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