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General NPI Number Information
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NPI Number | 1952638496
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Entity Type | Organization
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Legal Business Name | HEALTHEXCEL MEDICAL GROUP AT PALM BEACH INC
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 5405 OKEECHOBEE BLVD STE 303
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-4543
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Country | US
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Telephone | 561-689-8686
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Fax | 561-689-8682
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Provider Business Mailing Address
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Address Line | 5405 OKEECHOBEE BLVD STE 303
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-4543
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Country | US
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Telephone | 561-689-8686
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Fax | 561-689-8682
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Authorized Official
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Title or Position | DIRECTOR OF IT
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Name | MR. VINCENT CRUPI
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Credential |
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Telephone | 305-207-1632
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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 | ME101368
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License Number State | FL
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