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General NPI Number Information
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NPI Number | 1144941816
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Entity Type | Organization
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Legal Business Name | DV3 HEALTH, INC.
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 313 NORTON DR STE 102B
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5965
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Country | US
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Telephone | 850-202-1005
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Fax | 850-220-4559
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Provider Business Mailing Address
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Address Line | 11740 SW 80TH ST STE 102
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City | MIAMI
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State | FL
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Zip | 33183-4822
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER & DIRECTOR
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Name | TINA VIDAL-DUART
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Credential |
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Telephone | 850-738-7977
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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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