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General NPI Number Information
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NPI Number | 1972327872
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Entity Type | Organization
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Legal Business Name | BOCA RATON REGIONAL HOSPITAL, INC.
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 10125 GLADES RD
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City | BOCA RATON
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State | FL
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Zip | 33498-6739
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Country | US
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Telephone | 561-765-3650
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 71200
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City | CHARLOTTE
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State | NC
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Zip | 28272-1200
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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 | CEO
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Name | LINCOLN SIDEL MENDEZ
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Credential |
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Telephone | 561-955-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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