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General NPI Number Information
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NPI Number | 1912930991
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Entity Type | Organization
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Legal Business Name | ATLANTIS OUTPATIENT CENTER
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5645 S MILITARY TRL
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City | LAKE WORTH
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State | FL
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Zip | 33463-6978
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Country | US
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Telephone | 561-964-3966
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Fax | 561-964-3995
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Provider Business Mailing Address
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Address Line | 5645 S MILITARY TRL
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City | LAKE WORTH
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State | FL
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Zip | 33463-6978
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Country | US
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Telephone | 561-964-3966
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Fax | 561-964-3995
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Authorized Official
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Title or Position | CFO
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Name | DR. SETH S. STEINBERG
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Credential | M.D.
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Telephone | 561-964-3966
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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 | 1209
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License Number State | FL
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