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General NPI Number Information
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NPI Number | 1477859296
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Entity Type | Organization
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Legal Business Name | THE GOOD LIFE OF PALM BEACH
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 931 VILLAGE BLVD SUITE 903
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1803
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Country | US
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Telephone | 561-640-9090
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Fax | 561-640-9149
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Provider Business Mailing Address
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Address Line | 44 COCOANUT ROW SUITE # B22
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City | PALM BEACH
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State | FL
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Zip | 33480-4069
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Country | US
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Telephone | 561-640-9090
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Fax | 561-640-9149
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Authorized Official
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Title or Position | OWNER
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Name | RUTHANNE ZENTNER
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Credential | A.P.
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Telephone | 561-640-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2063
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License Number State | FL
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