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General NPI Number Information
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NPI Number | 1891354635
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Entity Type | Organization
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Legal Business Name | VIE MEDICAL CENTER INC.,
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 2160 W ATLANTIC AVE FL 1
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4660
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Country | US
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Telephone | 561-425-8888
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Fax | 855-878-2200
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Provider Business Mailing Address
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Address Line | PO BOX 7521
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City | DELRAY BEACH
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State | FL
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Zip | 33482-7521
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Country | US
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Telephone | 561-425-8888
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Fax | 855-878-2200
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. JAY MARCUS
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Credential |
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Telephone | 561-425-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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