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General NPI Number Information
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NPI Number | 1053815431
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Entity Type | Organization
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Legal Business Name | ADB MEDICAL SERVICES OF N FL LLC
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 07/28/2024
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Provider Practice Location Address
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Address Line | 3375 CAPITAL CIR NE BLDG D
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City | TALLAHASSEE
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State | FL
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Zip | 32308-3778
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Country | US
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Telephone | 850-878-0229
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Fax | 850-942-8537
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Provider Business Mailing Address
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Address Line | 3375 CAPITAL CIR NE BLDG D
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City | TALLAHASSEE
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State | FL
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Zip | 32308-3778
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Country | US
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Telephone | 850-878-0229
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Fax | 850-942-8537
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. AISHA BAILEY
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Credential | DO
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Telephone | 203-820-6692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS13611
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License Number State | FL
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