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General NPI Number Information
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NPI Number | 1962458307
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Entity Type | Organization
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Legal Business Name | GARDENS WHOLISTIC HEALTH CENTER LLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 05/04/2015
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Provider Practice Location Address
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Address Line | 1840 FOREST HILL BLVD STE 105
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6055
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Country | US
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Telephone | 561-439-6644
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Fax | 561-370-6214
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Provider Business Mailing Address
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Address Line | 1840 FOREST HILL BLVD STE 105
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6055
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Country | US
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Telephone | 561-776-5590
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Fax | 561-370-6214
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM J RICE
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Credential | DC
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Telephone | 561-776-5590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | CH2834
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP00070
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH2834
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License Number State | FL
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