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General NPI Number Information
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NPI Number | 1629379250
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Entity Type | Organization
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Legal Business Name | FELICIDAD HEALTH CENTER PA
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 11/12/2010
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Provider Practice Location Address
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Address Line | 2565 N DIXIE HWY
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City | LAKE WORTH
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State | FL
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Zip | 33460-6250
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Country | US
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Telephone | 561-499-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 6200 W ATLANTIC AVE SUITE 100
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City | DELRAY BEACH
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State | FL
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Zip | 33484-3506
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Country | US
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Telephone | 561-499-9292
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ISAAC THOMPSON
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Credential | M.D.
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Telephone | 561-499-9292
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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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