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NPI 1013434067

NPI 1013434067 : ADVENTIST HEALTH SYSTEM-SUNBELT INC : FROSTPROOF, FL

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General NPI Number Information
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    NPI Number           |    1013434067
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVENTIST HEALTH SYSTEM-SUNBELT INC 
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Dates
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    Enumeration Date     |    08/29/2017
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    Last Update Date     |    04/21/2025
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Provider Practice Location Address
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    Address Line         |    200 S SCENIC HWY 
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    City                 |    FROSTPROOF
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    State                |    FL
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    Zip                  |    33843-2125
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    Country              |    US
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    Telephone            |    863-546-6384
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4101 SUN N LAKE BLVD 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33872-2131
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    Country              |    US
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    Telephone            |    863-314-4466
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     JASON  DUNKEL 
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    Credential           |    
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    Telephone            |    727-942-5002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine 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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    
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    License Number State |    
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