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General NPI Number Information
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NPI Number | 1285655175
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES OF THE PALM BEACHES PA
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 10/06/2017
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Provider Practice Location Address
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Address Line | 1411 NO. FLAGLER DRIVE SUITE 4300
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3422
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Country | US
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Telephone | 561-366-8408
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Fax | 561-366-8405
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Provider Business Mailing Address
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Address Line | P.O. BOX 8296
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-0296
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Country | US
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Telephone | 561-366-8408
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Fax | 561-366-8405
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEAN S. MANN
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Credential | M.D.
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Telephone | 561-366-8408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0065507
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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