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General NPI Number Information
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NPI Number | 1043453905
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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 | 04/08/2009
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 601 E ROLLINS ST GINSBURG TOWER 1ST FLR
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City | ORLANDO
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State | FL
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Zip | 32803-1248
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Country | US
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Telephone | 407-303-1962
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Fax | 407-303-7486
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Provider Business Mailing Address
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Address Line | PO BOX 540419
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City | ORLANDO
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State | FL
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Zip | 32854
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Country | US
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Telephone | 407-303-2907
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Fax | 407-303-5988
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Authorized Official
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Title or Position | DIRECTOR
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Name | HOWARD SMITH
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Credential |
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Telephone | 407-303-7388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH23983
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License Number State | FL
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