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General NPI Number Information
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NPI Number | 1629408471
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Entity Type | Organization
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Legal Business Name | M & M MEDICAL ENTERPRISES, INC.
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 3795 COLLINWOOD LN
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-4152
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Country | US
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Telephone | 561-328-3610
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Fax | 888-939-4244
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Provider Business Mailing Address
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Address Line | 3795 COLLINWOOD LN
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-4152
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Country | US
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Telephone | 561-328-3610
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Fax | 888-939-4244
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELE THUNE
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Credential | ARNP
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Telephone | 561-328-3610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9214512
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License Number State | FL
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