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General NPI Number Information
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NPI Number | 1730578451
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS HOLISTIC CENTER
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Dates
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Enumeration Date | 01/19/2015
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Last Update Date | 01/19/2015
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Provider Practice Location Address
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Address Line | 2351 VISTA PKWY STE 500
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6726
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Country | US
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Telephone | 561-870-0133
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Fax |
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Provider Business Mailing Address
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Address Line | 2351 VISTA PKWY STE 500
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6726
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Country | US
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Telephone | 561-870-0133
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOAN BAIJNATH
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Credential | M.D.
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Telephone | 561-870-0133
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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 | ME113484
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License Number State | FL
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