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General NPI Number Information
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NPI Number | 1477397610
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Entity Type | Organization
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Legal Business Name | SPECIALTY HEALTH SERVICES LLC
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Dates
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Enumeration Date | 06/22/2024
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Last Update Date | 06/22/2024
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Provider Practice Location Address
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Address Line | 8481 SERENA CREEK AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33473-4957
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Country | US
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Telephone | 561-206-2595
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 741621
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City | BOYNTON BEACH
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State | FL
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Zip | 33474-1621
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Country | US
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Telephone | 561-206-2595
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DANIEL LEGER
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Credential |
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Telephone | 561-206-2595
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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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