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General NPI Number Information
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NPI Number | 1194940387
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Entity Type | Organization
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Legal Business Name | REALITY CHEQ, INC
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 10219 EASTERN LAKE AVE APT 102
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City | ORLANDO
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State | FL
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Zip | 32817-5847
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Country | US
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Telephone | 407-657-4675
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Fax |
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Provider Business Mailing Address
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Address Line | 10219 EASTERN LAKE AVE APT 102
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City | ORLANDO
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State | FL
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Zip | 32817-5847
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Country | US
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Telephone | 407-657-4675
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TAUNDRA THOMPSON PURNELL
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Credential |
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Telephone | 407-657-4675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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