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General NPI Number Information
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NPI Number | 1225284292
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Entity Type | Organization
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Legal Business Name | SOUTH BROWARD HOSPITAL DISTRICT
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 12235 PINES BLVD STE 1101
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-4119
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Country | US
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Telephone | 954-844-7199
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Fax | 954-844-7155
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Provider Business Mailing Address
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Address Line | PO BOX 538500
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City | ATLANTA
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State | GA
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Zip | 30353-8500
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Country | US
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Telephone | 954-844-3030
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Fax |
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Authorized Official
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Title or Position | EVP/COO
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Name | LEAH A CARPENTER
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Credential |
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Telephone | 954-265-2995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4316
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License Number State | FL
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