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General NPI Number Information
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NPI Number | 1265252142
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Entity Type | Organization
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Legal Business Name | WESTON HYPERBARIC THERAPY LLC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 2731 EXECUTIVE PARK DR STE 4
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City | WESTON
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State | FL
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Zip | 33331-3619
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Country | US
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Telephone | 954-444-6577
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Fax |
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Provider Business Mailing Address
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Address Line | 2731 EXECUTIVE PARK DR STE 4
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City | WESTON
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State | FL
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Zip | 33331-3619
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Country | US
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Telephone | 954-444-6577
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELLE LYN SUAREZ
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Credential |
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Telephone | 954-444-6577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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