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General NPI Number Information
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NPI Number | 1619951969
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Entity Type | Organization
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Legal Business Name | SHERIDAN CHILDRENS HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1613 N HARRISON PKWY #200
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City | SUNRISE
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State | FL
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Zip | 33323
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Country | US
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Telephone | 954-838-2371
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3431
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-3431
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Country | US
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Telephone | 954-939-5000
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KAREN MARIE VAUGHN
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Credential |
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Telephone | 404-450-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #4
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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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