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General NPI Number Information
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NPI Number | 1730124561
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER OF WESTON LLC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 2300 N COMMERCE PKWY STE 206
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City | WESTON
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State | FL
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Zip | 33326-3256
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Country | US
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Telephone | 954-217-5775
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Fax | 954-217-3152
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Provider Business Mailing Address
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Address Line | PO BOX 947043
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City | ATLANTA
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State | GA
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Zip | 30394-7043
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Country | US
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Telephone | 954-217-5775
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Fax | 954-217-3152
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LILIANA LEHMANN
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Credential |
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Telephone | 954-217-5775
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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 | 1106
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License Number State | FL
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