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General NPI Number Information
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NPI Number | 1972902419
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Entity Type | Organization
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Legal Business Name | SHERIDAN CHILDREN'S HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 1210 S OLD DIXIE HWY
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City | JUPITER
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State | FL
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Zip | 33458-7205
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Country | US
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Telephone | 561-263-2234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17540
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City | PLANTATION
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State | FL
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Zip | 33318-7540
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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 | PRESIDENT
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Name | ROBERT COWARD
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Credential |
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number |
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License Number State |
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