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General NPI Number Information
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NPI Number | 1790739837
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PAIN CARE OF S FL
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 440 N STATE ROAD 7 STE 107
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-3504
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Country | US
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Telephone | 561-795-8655
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Fax | 561-795-8449
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Provider Business Mailing Address
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Address Line | 440 N STATE ROAD 7 STE 107
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-3504
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HOWELL GOLDFARB
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Credential |
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Telephone | 561-795-8655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | ME56226
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License Number State | FL
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