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General NPI Number Information
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NPI Number | 1801440722
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Entity Type | Organization
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Legal Business Name | BW HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 31029 BACLAN DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-8271
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Country | US
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Telephone | 813-484-0261
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Fax |
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Provider Business Mailing Address
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Address Line | 31029 BACLAN DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-8271
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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 | OWNER/MSN
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Name | BECKY AKONWAH
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Credential |
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Telephone | 813-484-0261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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