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General NPI Number Information
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NPI Number | 1043837834
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Entity Type | Organization
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Legal Business Name | CRITICAL CARE AND HOSPITAL MEDICINE GROUP PLLC
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 12617 NARCOOSSEE RD STE 300
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City | ORLANDO
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State | FL
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Zip | 32832-7147
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Country | US
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Telephone | 321-945-6799
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Fax |
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Provider Business Mailing Address
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Address Line | 12617 NARCOOSSEE RD STE 300
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City | ORLANDO
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State | FL
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Zip | 32832-7147
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Country | US
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Telephone | 321-945-6799
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUMEET BHAVSAR
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Credential | MD
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Telephone | 321-945-6799
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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 |
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License Number State |
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