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General NPI Number Information
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NPI Number | 1215601430
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Entity Type | Organization
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Legal Business Name | COLEN VENTURES
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 1803 S AUSTRALIAN AVE STE 121
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6454
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Country | US
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Telephone | 248-894-7262
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Fax |
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Provider Business Mailing Address
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Address Line | 3910 CRYSTAL LAKE DR
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-1254
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Country | US
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Telephone | 248-894-7262
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | CHAIM COLEN
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Credential |
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Telephone | 248-894-7262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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