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General NPI Number Information
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NPI Number | 1821922832
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGEONS OF BOCA RATON LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 660 GLADES RD STE 380
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City | BOCA RATON
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State | FL
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Zip | 33431-6469
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Country | US
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Telephone | 561-251-0023
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Fax | 561-393-2445
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Provider Business Mailing Address
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Address Line | 1279 W PALMETTO PARK RD
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City | BOCA RATON
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State | FL
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Zip | 33427-0801
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Country | US
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Telephone | 561-251-0023
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Fax | 561-393-2445
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL OHARA
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Credential | MD
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Telephone | 561-251-0023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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