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General NPI Number Information
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NPI Number | 1417041468
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Entity Type | Organization
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Legal Business Name | SURGICAL LICENSED WARD PARTNERS LLP
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 W UNDERWOOD ST SUITE B
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City | ORLANDO
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State | FL
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Zip | 32806-1139
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Country | US
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Telephone | 407-648-9151
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Fax | 407-426-7017
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Provider Business Mailing Address
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Address Line | 110 W UNDERWOOD ST SUITE B
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City | ORLANDO
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State | FL
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Zip | 32806-1139
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Country | US
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Telephone | 407-648-9151
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Fax | 407-426-7017
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. WILLIAM HUGHES
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Credential |
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Telephone | 407-648-9151
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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 | 938
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License Number State | FL
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