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General NPI Number Information
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NPI Number | 1700888658
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Entity Type | Organization
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Legal Business Name | WESTON OUTPATIENT SURGICAL CENTER LTD
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 2229 N COMMERCE PWY.
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City | WESTON
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State | FL
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Zip | 33326-3239
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Country | US
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Telephone | 954-703-3007
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Fax | 954-703-3107
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Provider Business Mailing Address
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Address Line | 1A BURTON HILLS BLVD STE 300
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City | NASHVILLE
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State | TN
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Zip | 37215-6153
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Country | US
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Telephone | 615-240-3820
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Fax | 615-234-1720
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY SNODGRASS
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Credential |
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Telephone | 615-665-1283
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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 | 1102
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License Number State | FL
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