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General NPI Number Information
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NPI Number | 1578123675
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE SOLUTIONS MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 625 SE 2ND AVE STE C
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-5065
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Country | US
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Telephone | 561-364-0404
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Fax | 561-364-7787
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Provider Business Mailing Address
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Address Line | 625 SE 2ND AVE STE C
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-5065
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Country | US
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Telephone | 561-364-0404
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Fax | 561-364-7787
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. NICOLE B THOMAS
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Credential | MD
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Telephone | 561-364-0404
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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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