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General NPI Number Information
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NPI Number | 1336607118
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Entity Type | Organization
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Legal Business Name | CELES ENTERPRISES, LLC
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 1335 LYONS RD
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City | COCONUT CREEK
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State | FL
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Zip | 33063-3927
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Country | US
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Telephone | 954-804-6511
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Fax |
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Provider Business Mailing Address
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Address Line | 3667 CARAMBOLA CIR N
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2441
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOE CELESTIN SR.
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Credential |
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Telephone | 954-804-6511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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