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General NPI Number Information
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NPI Number | 1902828650
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Entity Type | Organization
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Legal Business Name | HIGHLANDS HEALTH AND WELLNESS CENTER LLC
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 1739 US HIGHWAY 27 S
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City | SEBRING
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State | FL
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Zip | 33870-4920
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Country | US
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Telephone | 863-382-0009
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Fax | 863-314-0008
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Provider Business Mailing Address
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Address Line | 1739 US HIGHWAY 27 S
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City | SEBRING
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State | FL
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Zip | 33870-4920
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Country | US
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Telephone | 863-382-0009
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Fax | 863-314-0008
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIE R TOUSSAINT
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Credential | M.D.
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Telephone | 863-382-0009
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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 | ME57175
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License Number State | FL
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