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General NPI Number Information
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NPI Number | 1619511904
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Entity Type | Organization
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Legal Business Name | PALM BEACH ELDER CARE LLC
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 8953 CYPRESS GROVE LN
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-3725
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Country | US
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Telephone | 561-685-1522
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Fax | 203-680-9243
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Provider Business Mailing Address
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Address Line | 8953 CYPRESS GROVE LN
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-3725
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Country | US
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Telephone | 561-685-1522
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Fax | 203-680-9243
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MANOJ BHATTARAI
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Credential | MD
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Telephone | 401-489-2453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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