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General NPI Number Information
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NPI Number | 1003847500
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Entity Type | Organization
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Legal Business Name | WESTSIDE OUTPATIENT CENTER, LLC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 460 N STATE ROAD 7
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-3514
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Country | US
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Telephone | 561-792-7333
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Fax | 561-784-0312
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Provider Business Mailing Address
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Address Line | 460 N STATE ROAD 7
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-3514
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Country | US
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Telephone | 561-792-7333
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Fax | 561-784-0312
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MISS WENDY A PAOLUCCI
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Credential |
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Telephone | 561-792-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | ME53688
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License Number State | FL
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