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General NPI Number Information
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NPI Number | 1588153431
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Entity Type | Organization
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Legal Business Name | HEALTH CENTERED MSO, LLC
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 3003 S CONGRESS AVE STE 2B
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2169
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Country | US
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Telephone | 954-816-7976
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Fax | 561-433-8709
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Provider Business Mailing Address
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Address Line | 3003 S CONGRESS AVE STE 2B
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2169
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Country | US
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Telephone | 954-816-7976
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Fax | 561-433-8709
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MARIE TROMANS
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Credential | MD
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Telephone | 561-305-1622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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