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General NPI Number Information
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NPI Number | 1164174785
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Entity Type | Organization
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Legal Business Name | PERINATAL PATHWAYS, LLC
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 10016 WELLNESS WAY STE 120
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City | ORLANDO
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State | FL
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Zip | 32832-7175
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Country | US
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Telephone | 732-233-2549
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Fax |
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Provider Business Mailing Address
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Address Line | 8704 PINTER ST
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City | ORLANDO
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State | FL
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Zip | 32827-7536
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Country | US
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Telephone | 732-233-2549
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY MAGGIO
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Credential | MD
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Telephone | 732-233-2549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine 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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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