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General NPI Number Information
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NPI Number | 1699857573
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Entity Type | Organization
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Legal Business Name | PALM BEACH PSYCHIATIST & ADDITION CENTER
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 1115 45TH ST SUITE 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2376
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Country | US
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Telephone | 561-863-1700
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Fax | 561-863-4646
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Provider Business Mailing Address
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Address Line | 1115 45TH ST SUITE 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2376
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Country | US
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Telephone | 561-863-1700
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Fax | 561-863-4646
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Authorized Official
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Title or Position | OWNER
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Name | DR. WOMESH C SAHADEO
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Credential | M.D
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Telephone | 561-863-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | ME0050472
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License Number State | FL
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