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General NPI Number Information
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NPI Number | 1134509474
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Entity Type | Organization
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Legal Business Name | HEALTHFAIR PLUS PC
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 2700 CORPORATE DR STE 200
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2732
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Country | US
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Telephone | 407-672-0919
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 SPRING VILLAS PT STE 3000
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-6621
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Country | US
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Telephone | 407-672-0919
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, CREDENTIALING
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Name | VICTORIA ALVAREZ
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Credential |
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Telephone | 480-862-1695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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