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General NPI Number Information
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NPI Number | 1205180973
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Entity Type | Organization
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Legal Business Name | PALM BEACH ATLANTIC UNIVERSITY
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 1000 SOUTH DIXIE HWY HEALTH AND WELLNESS CENTER
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City | WEST PALM BEACH
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State | FL
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Zip | 33416-4708
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Country | US
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Telephone | 561-803-2576
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Fax | 561-803-2499
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Provider Business Mailing Address
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Address Line | 901 SOUTH FLAGLER DR. P.O. BOX 24708 HEALTH AND WELLNESS CENTER
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City | WEST PALM BEACH
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State | FL
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Zip | 33416-4708
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Country | US
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Telephone | 561-803-2576
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Fax | 561-803-2499
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Authorized Official
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Title or Position | DIRECTOR HEALTH AND WELLNESS
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Name | MRS. FAYE KIRKLAND BIBLE
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Credential | RN, MSN
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Telephone | 561-803-2535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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