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General NPI Number Information
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NPI Number | 1598366684
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Entity Type | Organization
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Legal Business Name | NEW HEALTH CHIROPRACTIC WELLNESS CENTER
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 2695 N MILITARY TRL STE 17
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-2946
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Country | US
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Telephone | 561-658-1319
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Fax | 863-576-9953
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Provider Business Mailing Address
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Address Line | 2695 N MILITARY TRL STE 17
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-2946
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Country | US
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Telephone | 561-658-1319
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Fax | 863-576-9953
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Authorized Official
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Title or Position | AUTHORIZED MANAGER
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Name | PATRICK GERVILLE
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Credential |
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Telephone | 561-658-1319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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