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General NPI Number Information
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NPI Number | 1073252185
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Entity Type | Organization
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Legal Business Name | MEDI HEALTH
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 346 PENINSULA ISLAND PT
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City | LONGWOOD
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State | FL
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Zip | 32750-6323
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Country | US
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Telephone | 140-792-3213
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Fax | 407-960-3266
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Provider Business Mailing Address
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Address Line | 346 PENINSULA ISLAND PT
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City | LONGWOOD
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State | FL
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Zip | 32750-6323
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Country | US
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Telephone | 140-792-3213
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Fax | 407-960-3266
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JANECZEK LUKASZ
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Credential | MD
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Telephone | 407-923-2133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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