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General NPI Number Information
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NPI Number | 1528940020
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Entity Type | Organization
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Legal Business Name | STAY YOUNG HEALTH & WELLNESS INSTITUTE LLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 701 S OLIVE AVE UNIT 118
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6104
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Country | US
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Telephone | 561-787-9900
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Fax | 206-278-9279
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Provider Business Mailing Address
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Address Line | 701 S OLIVE AVE UNIT 118
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6104
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Country | US
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Telephone | 561-787-9900
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Fax | 206-278-9279
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Authorized Official
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Title or Position | CEO
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Name | DR. FARYAL I FAROOQI
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Credential | MD
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Telephone | 561-787-9900
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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 |
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License Number State |
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