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General NPI Number Information
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NPI Number | 1932824703
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Entity Type | Organization
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Legal Business Name | RECIOMED CLINICAL RESEARCH NETWORK, INC
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 8188 S JOG RD STE 202
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2952
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Country | US
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Telephone | 561-806-4317
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Fax |
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Provider Business Mailing Address
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Address Line | 8188 S JOG RD STE 202
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2952
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Country | US
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Telephone | 561-806-4317
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEVEN SHEHAN
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Credential |
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Telephone | 561-806-4317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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