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General NPI Number Information
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NPI Number | 1407921455
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Entity Type | Organization
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Legal Business Name | HOSPITAL OF SOUTH BEACH LLC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 630 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33139-5502
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Country | US
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Telephone | 305-538-9418
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Fax | 305-598-9418
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Provider Business Mailing Address
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Address Line | 2026 W UNIVERSITY DR
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City | DENTON
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State | TX
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Zip | 76201-0644
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Country | US
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Telephone | 940-320-8100
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Fax | 940-320-0402
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER, VP
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Name | MR. THOMAS EDWARD ROURKE
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Credential | LCSW
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Telephone | 940-320-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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