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General NPI Number Information
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NPI Number | 1396244646
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Entity Type | Organization
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Legal Business Name | CORAL SPRINGS HYPERBERIC OXYGEN AND WOUND CARE CENTER LLC
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 8333 W MCNAB 107
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City | TAMARAC
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State | FL
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Zip | 33321
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Country | US
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Telephone | 954-684-8335
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Fax | 305-721-1525
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Provider Business Mailing Address
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Address Line | PO BOX 8114
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City | CORAL SPRINGS
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State | FL
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Zip | 33075-8114
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Country | US
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Telephone | 954-440-6270
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Fax | 305-721-1525
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Authorized Official
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Title or Position | OWNSER
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Name | JOSEPH TOWNSEL
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Credential | CHT
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Telephone | 954-440-6270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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