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General NPI Number Information
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NPI Number | 1104396902
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Entity Type | Organization
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Legal Business Name | 365 HEALTH LLC
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Dates
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Enumeration Date | 12/05/2018
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 6804 ALOMA AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-6802
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Country | US
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Telephone | 321-972-1623
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Fax | 407-386-3004
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Provider Business Mailing Address
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Address Line | 6804 ALOMA AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-6802
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Country | US
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Telephone | 321-972-1623
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Fax | 407-386-3004
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Authorized Official
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Title or Position | OWNER
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Name | YAN FRANKEL
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Credential |
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Telephone | 321-972-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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