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General NPI Number Information
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NPI Number | 1366804130
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Entity Type | Organization
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Legal Business Name | MEDICAL PARTNERS IN RECOVERY, P.A.
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 5301 NORTH FEDERAL HIGHWAY SUITE 380 BOX 418
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City | BOCA RATON
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State | FL
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Zip | 33487
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Country | US
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Telephone | 561-400-9139
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 NORTH FEDERAL HIGHWAY SUITE 380 BOX 418
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City | BOCA RATON
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State | FL
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Zip | 33487
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Country | US
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Telephone | 561-400-9139
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURIE KUPERSMITH
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Credential | ARNP
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Telephone | 561-400-9139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9217834
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License Number State | FL
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