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General NPI Number Information
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NPI Number | 1194314591
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Entity Type | Organization
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Legal Business Name | ALLERGY & FAMILY WELLNESS CLINIC
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 05/02/2021
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Provider Practice Location Address
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Address Line | 10960 DYLAN LOREN CIR
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City | ORLANDO
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State | FL
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Zip | 32825-4439
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Country | US
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Telephone | 407-734-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 PALISADE BLVD
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City | KISSIMMEE
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State | FL
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Zip | 34741-7862
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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
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Name | HARIS M SAYEED
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Credential | APRN
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Telephone | 305-343-3317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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