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General NPI Number Information
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NPI Number | 1588619340
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Entity Type | Organization
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Legal Business Name | WEST PALM BEACH HEALTH CARE ASSOCIATES LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 5065 WALLIS RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-1947
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Country | US
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Telephone | 561-689-1799
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Fax | 561-640-4603
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Provider Business Mailing Address
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Address Line | 5065 WALLIS RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-1947
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Country | US
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Telephone | 561-689-1799
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Fax | 561-640-4603
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Authorized Official
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Title or Position | MANAGER
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Name | GARY L. KRULEWITZ
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Credential |
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Telephone | 561-689-1799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF1198096
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License Number State | FL
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