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General NPI Number Information
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NPI Number | 1396154340
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Entity Type | Organization
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Legal Business Name | HEALTH & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 1840 FOREST HILL BLVD SUITE 200
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6063
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Country | US
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Telephone | 561-683-4100
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Fax | 561-683-4755
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Provider Business Mailing Address
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Address Line | 1195 N MILITARY TRL SUITE 2A
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6058
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Country | US
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Telephone | 561-683-4100
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Fax | 561-683-4755
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAMSAD BEGUM
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Credential | M.D.
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Telephone | 561-683-4100
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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 | ME73778
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License Number State | FL
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