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General NPI Number Information
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NPI Number | 1417336728
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Entity Type | Organization
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Legal Business Name | PALISADES MEDICAL CENTER
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 10348 PANAMA ST
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City | HOLLYWOOD
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State | FL
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Zip | 33026-4529
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Country | US
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Telephone | 954-673-0047
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Fax |
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Provider Business Mailing Address
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Address Line | 10348 PANAMA ST
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City | HOLLYWOOD
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State | FL
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Zip | 33026-4529
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Country | US
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Telephone | 954-673-0047
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Fax |
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Authorized Official
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Title or Position | RESIDENT PHYSICIAN
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Name | DR. DANIELLE KRISTINA BEHARIE
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Credential | DO
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Telephone | 954-673-0047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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