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General NPI Number Information
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NPI Number | 1164822862
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Entity Type | Organization
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Legal Business Name | PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONER
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 5217 NORTHLAKE BLVD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-4552
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Country | US
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Telephone | 561-357-7135
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Fax |
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Provider Business Mailing Address
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Address Line | 810 DATURA ST SUITE 300
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-5204
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Country | US
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Telephone | 561-355-4753
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Fax |
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Authorized Official
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Title or Position | DIVISION DIRECTOR
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Name | FAITH MANFRA
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Credential |
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Telephone | 561-355-4753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 344
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License Number State | FL
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