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General NPI Number Information
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NPI Number | 1134566813
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Entity Type | Organization
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Legal Business Name | ORLANDO PHYSICIAN SPECIALISTS LLC
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 7252 NARCOOSSEE RD SUITE 104
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City | ORLANDO
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State | FL
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Zip | 32822-5550
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Country | US
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Telephone | 407-482-1234
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Fax | 407-478-4921
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Provider Business Mailing Address
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Address Line | 3599 UNIVERSITY BLVD S SUITE 907
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4252
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Country | US
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Telephone | 904-309-8680
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Fax | 904-345-5841
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHYAM B PARYANI
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Credential | MD
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Telephone | 904-309-8680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | FL
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