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General NPI Number Information
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NPI Number | 1528206992
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Entity Type | Organization
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Legal Business Name | SHERIDAN EMERGENCY PHYSICIAN SERVICES, INC
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 4600 SW 46TH CT
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City | OCALA
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State | FL
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Zip | 34474-5708
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Country | US
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Telephone | 352-291-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1613 HARRISON PKWY SUITE #200
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City | SUNRISE
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State | FL
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Zip | 33323-2896
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | KAREN VAUGHN
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Credential |
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Telephone | 973-251-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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