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General NPI Number Information
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NPI Number | 1164969432
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Entity Type | Individual
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Provider Name | YOLAINE SAINT FORT CCPA
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Gender | Female
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 3003 S CONGRESS AVE SUITE 2E
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2169
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Country | US
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Telephone | 561-432-6959
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Fax | 561-433-8709
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Provider Business Mailing Address
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Address Line | 15025 MICHELANGELO BLVD APT 203
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2896
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Country | US
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Telephone | 561-860-3134
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Fax | 561-433-8709
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CI306
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License Number State | FL
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