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General NPI Number Information
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NPI Number | 1598663288
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Entity Type | Organization
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Legal Business Name | PURSUING OUR POTENTIAL LLC
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Dates
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Enumeration Date | 10/30/2026
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Last Update Date | 10/30/2026
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Provider Practice Location Address
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Address Line | 100 TRELAWNEY LN
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City | COVINGTON
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State | GA
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Zip | 30016-6882
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Country | US
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Telephone | 252-814-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 7754 OKEECHOBEE BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2103
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Country | US
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Telephone | 561-379-8100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUINTON HARRIS
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Credential |
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Telephone | 252-814-4642
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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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