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General NPI Number Information
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NPI Number | 1174437727
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Entity Type | Organization
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Legal Business Name | LANGLEY SPECIALTY SERVICES
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 7204 MIDWAY TERRACE
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City | OCALA
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State | FL
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Zip | 34472
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Country | US
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Telephone | 352-680-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 S US 301
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City | SUMTERVILLE
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State | FL
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Zip | 33585-5141
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Country | US
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Telephone | 352-793-5900
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. VICKI WYNNS
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Credential |
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Telephone | 352-569-2955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NULL
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