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General NPI Number Information
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NPI Number | 1003195041
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 4401 E COLONIAL DR SUITE 102
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City | ORLANDO
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State | FL
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Zip | 32803-5200
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Country | US
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Telephone | 407-895-7246
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Fax | 407-895-7245
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Provider Business Mailing Address
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Address Line | 4401 E COLONIAL DR SUITE 102
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City | ORLANDO
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State | FL
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Zip | 32803-5200
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Country | US
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Telephone | 407-895-7246
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Fax | 407-895-7245
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KRISTEN J TOUHEY
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Credential |
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Telephone | 239-226-0910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | HCC604281
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License Number State | FL
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