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General NPI Number Information
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NPI Number | 1225416233
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Entity Type | Organization
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Legal Business Name | PALM BEACH COUNTY DEPARTMENT OF COMMUNITY SERVICES
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 810 DATURA ST
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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 | 561-355-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 810 DATURA ST
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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 | 561-355-4730
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHANNELL WILKINS
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Credential |
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Telephone | 561-355-4702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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