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General NPI Number Information
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NPI Number | 1013360320
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Entity Type | Organization
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Legal Business Name | SURGICATH LLC
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 3345 BURNS RD STE 106
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4324
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Country | US
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Telephone | 561-626-1881
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Fax | 561-721-8605
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Provider Business Mailing Address
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Address Line | PO BOX 939
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-0939
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Country | US
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Telephone | 561-793-6100
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Fax | 561-793-1974
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. AMARNATH R VEDERE
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Credential | M.D.
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Telephone | 561-793-6100
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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 |
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License Number State |
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