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General NPI Number Information
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NPI Number | 1285037176
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Entity Type | Organization
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Legal Business Name | HAND & WRIST SPECIALISTS OF THE PALM BEACHES PA
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Dates
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Enumeration Date | 10/06/2014
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 2237 S CONGRESS AVE
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City | PALM SPRINGS
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State | FL
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Zip | 33406-7605
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Country | US
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Telephone | 561-508-7066
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Fax |
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Provider Business Mailing Address
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Address Line | 2237 S CONGRESS AVE
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City | PALM SPRINGS
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State | FL
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Zip | 33406-7605
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Country | US
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Telephone | 561-508-7066
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAURA WHITE KOLSHAK
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Credential | M.D., M.S.
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Telephone | 561-508-7066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME102418
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License Number State | FL
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