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General NPI Number Information
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NPI Number | 1427031541
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Entity Type | Organization
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Legal Business Name | SHERIDAN HEALTHCARE OF TEXAS PA
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 500 W MAIN ST
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City | LEWISVILLE
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State | TX
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Zip | 75057-3641
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Country | US
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Telephone | 800-437-2672
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 816209
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City | HOLLYWOOD
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State | FL
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Zip | 33081-0209
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Country | US
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Telephone | 954-838-2371
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GILBERT DROZDOW
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Credential | MD
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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