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General NPI Number Information
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NPI Number | 1659202604
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Entity Type | Organization
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Legal Business Name | ESSENTIAL HEALTH MEDICAL LLC
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Dates
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Enumeration Date | 05/28/2026
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Last Update Date | 05/28/2026
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Provider Practice Location Address
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Address Line | 3909 NE 163RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-4126
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Country | US
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Telephone | 754-333-1079
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Fax | 305-330-9967
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Provider Business Mailing Address
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Address Line | 4234 NW 1ST DR
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9200
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Country | US
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Telephone | 754-333-1079
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Fax | 305-330-9967
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Authorized Official
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Title or Position | OWNER
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Name | MS. OLGA KOSYK
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Credential | APRN
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Telephone | 754-333-1079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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