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General NPI Number Information
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NPI Number | 1548581135
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Entity Type | Organization
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Legal Business Name | WEST PALM WELLNESS, INC.
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 330 CLEMATIS ST 104
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-4657
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Country | US
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Telephone | 561-247-1407
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Fax |
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Provider Business Mailing Address
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Address Line | 255 EVERNIA ST 1004
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-5678
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Country | US
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Telephone | 561-655-6061
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW BARON
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Credential | A.P.
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Telephone | 561-247-1407
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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 | AP2835
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License Number State | FL
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