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General NPI Number Information
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NPI Number | 1821439373
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Entity Type | Organization
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Legal Business Name | PALM BEACH RESEARCH CENTER
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 2277 PALM BEACH LAKES BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3401
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Country | US
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Telephone | 561-689-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 2277 PALM BEACH LAKES BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3401
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Country | US
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Telephone | 561-689-0606
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Fax |
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Authorized Official
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Title or Position | PREZIDENT AND CEO
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Name | MR. DAVID N/A SCOTT
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Credential |
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Telephone | 561-689-0606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number | ME81958
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License Number State | FL
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