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General NPI Number Information
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NPI Number | 1598642092
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Entity Type | Organization
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Legal Business Name | PRVNT LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 11358 OKEECHOBEE BLVD STE 2
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-8723
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Country | US
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Telephone | 561-755-1121
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 TANGLED ORCHARD TRCE
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-1114
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Country | US
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Telephone | 347-439-0558
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JONATHAN JAMES
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Credential | DC
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Telephone | 561-755-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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