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General NPI Number Information
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NPI Number | 1144848441
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Entity Type | Organization
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Legal Business Name | CGJE, LLC
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 681 DOUGLAS AVE STE 109
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2583
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Country | US
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Telephone | 407-921-9141
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Fax |
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Provider Business Mailing Address
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Address Line | 681 DOUGLAS AVE STE 109
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2583
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Country | US
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Telephone | 407-921-9141
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Fax | 407-550-3953
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. BRITNEY L HUNEYCUTT
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Credential | DO
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Telephone | 407-921-9141
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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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