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General NPI Number Information
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NPI Number | 1073872289
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Entity Type | Organization
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Legal Business Name | CAPE VISTA ENTERPRISES INC
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 2734 WINDGUARD CIR SUITE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-7362
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Country | US
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Telephone | 813-991-4333
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Fax | 813-440-2744
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Provider Business Mailing Address
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Address Line | 2734 WINDGUARD CIR SUITE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-7362
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Country | US
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Telephone | 813-991-4333
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Fax | 813-440-2744
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Authorized Official
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Title or Position | CFO
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Name | MISS ADEBISI E WILLIAMS
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Credential | B.SC
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Telephone | 813-454-7775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | HCC9357
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | HCC9357
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License Number State | FL
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