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General NPI Number Information
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NPI Number | 1497190128
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Entity Type | Organization
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Legal Business Name | WEST BOCA HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 7070 W PALMETTO PARK RD
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City | BOCA RATON
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State | FL
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Zip | 33433-3411
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Country | US
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Telephone | 561-417-7920
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Fax |
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Provider Business Mailing Address
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Address Line | 1445 ROSS AVE SUITE 1400
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City | DALLAS
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State | TX
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Zip | 75202-2711
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Country | US
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Telephone | 561-417-7920
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Fax | 561-417-7425
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Authorized Official
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Title or Position | SVP REGIONAL OPERATIONS, TENET
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Name | MS. MARSHA D. POWERS
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Credential |
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Telephone | 954-509-3671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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