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General NPI Number Information
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NPI Number | 1306833009
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Entity Type | Organization
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Legal Business Name | SOUTH BROWARD ENDOSCOPY L L C
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 11011 SHERIDAN ST SUITE 106
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City | COOPER CITY
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State | FL
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Zip | 33026-1505
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Country | US
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Telephone | 954-435-0101
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Fax | 954-435-0125
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Provider Business Mailing Address
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Address Line | 11011 SHERIDAN ST STE 106
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City | HOLLYWOOD
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State | FL
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Zip | 33026-1501
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Country | US
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Telephone | 954-435-0101
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Fax | 954-435-0125
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NODILEE JAMES
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Credential |
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Telephone | 954-435-0101
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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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