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General NPI Number Information
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NPI Number | 1659443042
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Entity Type | Organization
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Legal Business Name | HALLANDALE OUTPATIENT SURGICAL CENTER,LTD
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 306 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5527
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Country | US
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Telephone | 954-458-1689
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Fax | 954-458-1699
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Provider Business Mailing Address
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Address Line | 306 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5527
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Country | US
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Telephone | 954-458-1689
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Fax | 954-458-1699
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MRS. MADAY RAMOS
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Credential |
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Telephone | 954-458-1689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1256
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License Number State | FL
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