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General NPI Number Information
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NPI Number | 1699016360
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Entity Type | Organization
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Legal Business Name | FLORIDA OUTPATIENT SPECIALTY SERVICES LLC
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 1600 S FEDERAL HWY 10TH FLOOR
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City | POMPANO BEACH
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State | FL
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Zip | 33062-7500
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Country | US
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Telephone | 954-941-8889
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 S CONGRESS AVE 400
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City | DELRAY BEACH
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State | FL
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Zip | 33445-7308
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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 | PRESIDENT
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Name | DR. DANNY S FEDER
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Credential | DC
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Telephone | 954-941-8889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | CH8093
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License Number State | FL
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