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General NPI Number Information
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NPI Number | 1396130803
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Entity Type | Organization
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Legal Business Name | HAPPY HEALTH MEDICAL GROUP INC
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 2651 W ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33069-2507
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Country | US
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Telephone | 954-446-3198
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Fax | 866-498-5812
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Provider Business Mailing Address
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Address Line | 2651 W ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33069-2507
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Country | US
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Telephone | 954-446-3198
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Fax | 866-498-5812
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | IMMACULA MICHEL
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Credential | MD
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Telephone | 305-321-7761
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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 | ACN97
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License Number State | FL
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