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General NPI Number Information
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NPI Number | 1760257265
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Entity Type | Organization
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Legal Business Name | PATRIOTS SERVICES LLC
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 2540 METROCENTRE BLVD STE 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3137
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Country | US
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Telephone | 978-828-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 2540 METROCENTRE BLVD STE 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3137
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Country | US
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Telephone | 978-828-1555
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL RAY
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Credential |
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Telephone | 561-867-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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