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General NPI Number Information
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NPI Number | 1053760181
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Entity Type | Organization
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Legal Business Name | MEDSURG HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 801 N ORANGE AVE SUITE 710
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City | ORLANDO
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State | FL
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Zip | 32801-1026
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Country | US
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Telephone | 407-434-7242
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Fax |
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Provider Business Mailing Address
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Address Line | 801 N ORANGE AVE SUITE 710
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City | ORLANDO
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State | FL
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Zip | 32801-1026
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Country | US
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Telephone | 407-434-7242
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRISTOPHER WALKER
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Credential | M.D.
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Telephone | 407-434-7242
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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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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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