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General NPI Number Information
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NPI Number | 1558887471
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Entity Type | Organization
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Legal Business Name | OCEANS MEDICAL CENTERS INC
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 08/22/2017
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Provider Practice Location Address
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Address Line | 404 SE 23RD AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7236
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Country | US
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Telephone | 561-810-5714
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Fax | 561-810-5479
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Provider Business Mailing Address
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Address Line | 404 SE 23RD AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7236
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Country | US
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Telephone | 561-810-5714
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KAREN DOROS
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Credential |
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Telephone | 781-820-9117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | HCC12445
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License Number State | FL
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