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General NPI Number Information
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NPI Number | 1558233015
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Entity Type | Organization
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Legal Business Name | THE MEDICAL DETECTIVE, LLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 4005 FARADAY WAY
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-6058
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Country | US
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Telephone | 610-389-1545
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Fax |
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Provider Business Mailing Address
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Address Line | 4005 FARADAY WAY
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-6058
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Country | US
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Telephone | 610-389-1545
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Fax |
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Authorized Official
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Title or Position | INTEGRATIVE HEALTH PRACTITIONER
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Name | MRS. ERICA LANDES
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Credential |
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Telephone | 610-389-1545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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