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General NPI Number Information
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NPI Number | 1942697503
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Entity Type | Organization
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Legal Business Name | WELLNESS CENTER OF PALM BEACH HEALTH
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 2724 N AUSTRALIAN AVE BLDG 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-4501
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Country | US
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Telephone | 561-557-9298
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Fax | 888-570-6904
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Provider Business Mailing Address
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Address Line | 2724 N AUSTRALIAN AVE BLDG 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-4501
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Country | US
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Telephone | 561-557-9298
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Fax | 888-570-6904
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JAYEESH DAVE
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Credential |
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Telephone | 561-557-9298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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