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General NPI Number Information
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NPI Number | 1083022842
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Entity Type | Organization
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Legal Business Name | CHECK-IN CLINIC, LLC
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 5660 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32822-1445
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Country | US
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Telephone | 407-772-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 7806 LAKE UNDERHILL RD SUITE 104
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City | ORLANDO
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State | FL
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Zip | 32822-8232
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Country | US
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Telephone | 407-774-6800
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. EDUARDO TOBENAS
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Credential | DC
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Telephone | 407-774-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | ME0065264
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0065264
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License Number State | FL
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