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General NPI Number Information
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NPI Number | 1144762014
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Entity Type | Organization
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Legal Business Name | ALL CHARACTER CARE
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 13900 COUNTY ROAD 455 SUITE 107-404
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City | CLERMONT
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State | FL
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Zip | 34711-9052
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Country | US
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Telephone | 352-404-7815
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Fax | 352-404-7814
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Provider Business Mailing Address
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Address Line | 13900 COUNTY ROAD 455 SUITE 107-404
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City | CLERMONT
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State | FL
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Zip | 34711-9052
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Country | US
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Telephone | 310-721-3793
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | HEATHER DIAZ
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Credential |
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Telephone | 310-721-3793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy 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 | 208000000X
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Taxonomy Name | Pediatrics 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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | FL
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