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General NPI Number Information
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NPI Number | 1750167888
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Entity Type | Organization
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Legal Business Name | URP WELLNESS CENTER LLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 7357 WILSON RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33413-2240
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Country | US
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Telephone | 954-654-9072
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Fax | 954-215-3718
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Provider Business Mailing Address
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Address Line | 9050 PINES BLVD STE 460
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6459
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Country | US
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Telephone | 954-654-9072
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KAYLA MACDONALD
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Credential |
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Telephone | 954-654-9072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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