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General NPI Number Information
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NPI Number | 1427270982
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Entity Type | Organization
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Legal Business Name | PALM BEACH PRIMARY CARE ASSOCIATES INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 3347 STATE ROAD 7 STE 200
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City | WELLINGTON
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State | FL
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Zip | 33449-8095
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Country | US
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Telephone | 561-795-9087
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Fax | 561-795-4036
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Provider Business Mailing Address
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Address Line | PO BOX 1602
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-1602
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Country | US
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Telephone | 561-795-9087
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Fax | 561-753-8730
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHEKHAR V SHARMA
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Credential | MD
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Telephone | 561-795-9087
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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 | ME-0047072
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License Number State | FL
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