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General NPI Number Information
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NPI Number | 1205396611
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Entity Type | Organization
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Legal Business Name | MOUNT OF MERCY HEALTHCARE LLC
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 03/21/2019
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Provider Practice Location Address
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Address Line | 11268 S APOPKA VINELAND RD
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City | ORLANDO
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State | FL
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Zip | 32836-6152
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Country | US
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Telephone | 407-465-1993
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Fax | 888-565-9271
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Provider Business Mailing Address
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Address Line | 7136 ALTIS WAY # 2102
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City | ORLANDO
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State | FL
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Zip | 32836-6870
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Country | US
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Telephone | 321-396-2877
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Fax | 888-565-9271
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAROON R NAWAZ
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Credential |
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Telephone | 321-396-2877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology 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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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