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General NPI Number Information
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NPI Number | 1790655538
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Entity Type | Organization
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Legal Business Name | MEDICAL ACCESS NETWORK INC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1515 S FEDERAL HWY STE 401
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City | BOCA RATON
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State | FL
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Zip | 33432-7449
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Country | US
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Telephone | 833-944-7855
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 S FEDERAL HWY STE 401
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City | BOCA RATON
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State | FL
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Zip | 33432-7449
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Country | US
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Telephone | 833-944-7855
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PEGGY GWIRTZ
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Credential | DR
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Telephone | 833-944-7855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208U00000X
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Taxonomy Name | Clinical Pharmacology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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