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General NPI Number Information
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NPI Number | 1235349531
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Entity Type | Organization
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Legal Business Name | DANIEL A PICARD MD PA
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 2815 S SEACREST BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7934
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Country | US
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Telephone | 561-381-3425
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Fax | 888-491-6291
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Provider Business Mailing Address
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Address Line | PO BOX 7120
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City | DELRAY BEACH
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State | FL
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Zip | 33482-7120
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Country | US
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Telephone | 561-381-3425
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Fax | 888-491-6291
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL PICARD
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Credential | MD
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Telephone | 561-381-3425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME61639
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License Number State | FL
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