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General NPI Number Information
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NPI Number | 1144837329
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Entity Type | Organization
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Legal Business Name | GO4HEALTHNOW, LLC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 5632 BEE RIDGE RD STE 101
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City | SARASOTA
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State | FL
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Zip | 34233-1506
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Country | US
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Telephone | 941-413-0479
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Fax |
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Provider Business Mailing Address
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Address Line | 5632 BEE RIDGE RD STE 101
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City | SARASOTA
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State | FL
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Zip | 34233-1506
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Country | US
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Telephone | 941-413-0479
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | BARABARA L BAKUS
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Credential | DO
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Telephone | 440-991-6718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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