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General NPI Number Information
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NPI Number | 1174808521
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Entity Type | Organization
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Legal Business Name | GOOD HEALTH, INC
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 02/18/2013
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Provider Practice Location Address
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Address Line | 6150 METROWEST BLVD SUITE 202
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City | ORLANDO
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State | FL
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Zip | 32835-3289
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Country | US
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Telephone | 407-291-2620
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Fax | 407-291-2625
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Provider Business Mailing Address
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Address Line | 6150 METROWEST BLVD SUITE 202
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City | ORLANDO
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State | FL
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Zip | 32835-3289
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Country | US
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Telephone | 407-291-2620
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Fax | 407-291-2625
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOAKHNAUTH RAMKISHUN
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Credential | M.D.
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Telephone | 407-291-2620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME0067252
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License Number State | FL
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