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General NPI Number Information
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NPI Number | 1881714137
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Entity Type | Organization
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Legal Business Name | B.S.S. INTERNATIONAL, INC
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 7777 N UNIVERSITY DR 102
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City | TAMARAC
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State | FL
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Zip | 33321-6106
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Country | US
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Telephone | 954-726-7773
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Fax | 954-726-2896
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Provider Business Mailing Address
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Address Line | 7777 N UNIVERSITY DR 102
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City | TAMARAC
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State | FL
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Zip | 33321-6106
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Country | US
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Telephone | 954-726-7773
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Fax | 954-726-2896
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Authorized Official
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Title or Position | OWNER
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Name | MS. LYNDA L BENJAMIN
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Credential |
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Telephone | 954-726-7773
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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 | 862
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License Number State | FL
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