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General NPI Number Information
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NPI Number | 1013286004
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Entity Type | Organization
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Legal Business Name | HEALTH FIRST INTERNAL MEDICINE ASSOCIATES, LLC
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 8562 NE 138TH LN
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City | LADY LAKE
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State | FL
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Zip | 32159-8919
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Country | US
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Telephone | 352-633-8681
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2080
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City | LADY LAKE
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State | FL
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Zip | 32158-2080
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Country | US
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Telephone | 352-633-8681
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Fax | 352-385-7574
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. JANMEJAY SHAKTAWAT
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Credential |
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Telephone | 352-633-8681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME88930
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License Number State | FL
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