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General NPI Number Information
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NPI Number | 1962793281
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Entity Type | Individual
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Provider Name | CORINNE ERIN ALTHAUSER D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 700 S ROSEMARY AVE STE 204
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6310
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Country | US
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Telephone | 615-840-5950
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Fax | 954-405-8648
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Provider Business Mailing Address
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Address Line | 3047 S DIXIE HWY APT 502
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City | WEST PALM BEACH
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State | FL
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Zip | 33405-1568
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Country | US
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Telephone | 561-840-5950
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Fax | 954-405-8648
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS12769
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License Number State | FL
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