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General NPI Number Information
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NPI Number | 1811278898
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Entity Type | Organization
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Legal Business Name | PALM BEACH MENTAL HEALTH
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 1901 S CONGRESS AVE STE 300
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City | BOYNTON BEACH
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State | FL
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Zip | 33426
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Country | US
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Telephone | 561-330-4557
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Fax | 561-330-4558
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Provider Business Mailing Address
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Address Line | 1901 S CONGRESS AVE STE 300
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6551
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Country | US
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Telephone | 561-330-4557
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Fax | 561-330-4558
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. CHARLES RAELE
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Credential | M.D.
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Telephone | 561-330-4557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME109468
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License Number State | FL
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