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General NPI Number Information
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NPI Number | 1225293681
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Entity Type | Organization
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Legal Business Name | PAIN AND REHABILITATION PHYSICIANS OF PALM BEACH INC
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 1397 MEDICAL PARK BLVD SUITE 480
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City | WELLINGTON
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State | FL
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Zip | 33414-3186
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Country | US
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Telephone | 561-791-1141
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Fax | 561-296-3004
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Provider Business Mailing Address
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Address Line | PO BOX 211375
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33421-1375
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Country | US
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Telephone | 561-791-1141
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Fax | 561-296-3004
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES S HUANG
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Credential | MD
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Telephone | 561-791-1141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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