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General NPI Number Information
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NPI Number | 1215890314
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Entity Type | Organization
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Legal Business Name | RADIANT HEARTS HEALTH PA
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2751 EAGLE GLEN CIR
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City | KISSIMMEE
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State | FL
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Zip | 34746-3153
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Country | US
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Telephone | 754-946-2792
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Fax | 754-755-4062
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Provider Business Mailing Address
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Address Line | 2751 EAGLE GLEN CIR
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City | KISSIMMEE
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State | FL
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Zip | 34746-3153
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Country | US
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Telephone | 754-946-2792
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Fax | 754-755-4062
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW MICHAEL EPSTEIN
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Credential | DO
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Telephone | 520-905-3548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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