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General NPI Number Information
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NPI Number | 1225611460
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Entity Type | Organization
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Legal Business Name | FLORIDA CENTER FOR CLINICAL RESEARCH INC.
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 6056 BOYNTON BEACH BLVD STE 175
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3500
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Country | US
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Telephone | 561-708-1760
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Fax |
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Provider Business Mailing Address
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Address Line | 8132 OKEECHOBEE BLVD STE B
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2000
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Country | US
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Telephone | 561-290-1181
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | NATHALIE BASTIEN-MONTPEIROUS
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Credential | MD
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Telephone | 561-708-1760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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