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General NPI Number Information
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NPI Number | 1417175308
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Entity Type | Organization
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Legal Business Name | COLONY SPRINGS MEDICAL CENTER OF PALM BCH, INC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 130 JFK DR SUITE # 131
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City | ATLANTIS
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State | FL
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Zip | 33462-1141
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Country | US
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Telephone | 561-439-7070
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Fax | 561-967-3888
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Provider Business Mailing Address
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Address Line | 130 JFK DR SUITE # 131
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City | ATLANTIS
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State | FL
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Zip | 33462-1141
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Country | US
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Telephone | 561-439-7070
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Fax | 561-967-3888
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MRS. CLAUDIA JOHANNA NEIRA
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Credential |
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Telephone | 954-726-3721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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