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General NPI Number Information
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NPI Number | 1073451225
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Entity Type | Organization
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Legal Business Name | CHARMAINE HEALTH CARE LLC
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 215 DOROTHY ST
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City | AUBURNDALE
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State | FL
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Zip | 33823-9486
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Country | US
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Telephone | 863-289-6042
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Fax |
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Provider Business Mailing Address
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Address Line | 122 E MAIN ST # 138
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City | LAKELAND
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State | FL
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Zip | 33801-4655
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Country | US
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Telephone | 863-289-6042
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Fax |
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Authorized Official
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Title or Position | DNP
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Name | MAY E. HUNTER
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Credential |
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Telephone | 863-289-6042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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