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General NPI Number Information
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NPI Number | 1144967431
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Entity Type | Organization
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Legal Business Name | ELON HEALTH
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 43378 HIGHWAY 27 STE A
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City | DAVENPORT
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State | FL
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Zip | 33837-6816
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Country | US
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Telephone | 352-508-5254
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Fax | 352-508-5325
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Provider Business Mailing Address
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Address Line | 127 W FAIRBANKS AVE STE 447
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City | WINTER PARK
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State | FL
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Zip | 32789-4326
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Country | US
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Telephone | 352-508-5254
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Fax | 352-508-5325
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SANDEEP PANDYA
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Credential | M.D.
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Telephone | 352-508-5254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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