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General NPI Number Information
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NPI Number | 1588585616
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Entity Type | Organization
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Legal Business Name | PATHVUE HEALTH HOLDINGS LLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 7790 NW 79TH AVE APT G2
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City | TAMARAC
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State | FL
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Zip | 33321-9004
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Country | US
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Telephone | 954-670-4523
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 W CYPRESS CREEK RD STE 3331013
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1713
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARSHA JUREIDINI
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Credential | NP
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Telephone | 954-670-4523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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