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General NPI Number Information
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NPI Number | 1639473309
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA ANESTHESIA AND PAIN INSTITUTE, LLC
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 11985 SOUTHERN BLVD STE 201
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-7619
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Country | US
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Telephone | 561-955-0028
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Fax |
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Provider Business Mailing Address
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Address Line | 11985 SOUTHERN BLVD STE 201
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-7619
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Country | US
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Telephone | 561-955-0028
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Fax |
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Authorized Official
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Title or Position | MBR
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Name | HENRY BATTAGLIOLA
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Credential | DC
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Telephone | 954-415-5202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME77904
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License Number State | FL
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