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General NPI Number Information
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NPI Number | 1629651617
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Entity Type | Organization
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Legal Business Name | TRI COUNTY WELLNESS INC
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 7711 N MILITARY TRL STE 201
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-6506
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Country | US
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Telephone | 561-524-6326
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Fax | 561-828-0543
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Provider Business Mailing Address
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Address Line | 7711 N MILITARY TRL STE 201
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-6506
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Country | US
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Telephone | 561-524-6326
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Fax | 561-828-0543
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE A VARGAS
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Credential |
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Telephone | 561-524-6326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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