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General NPI Number Information
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NPI Number | 1265448286
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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 | 07/31/2006
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 3700 JOHNSON ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6031
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Country | US
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Telephone | 954-987-2020
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Fax | 954-965-6390
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Provider Business Mailing Address
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Address Line | PO BOX 862233
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City | ORLANDO
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State | FL
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Zip | 32886-2233
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Country | US
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Telephone | 954-987-2020
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Fax | 954-965-6390
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | LEAH 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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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