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General NPI Number Information
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NPI Number | 1225114838
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Entity Type | Organization
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Legal Business Name | CITY OF LAKE MARY FLORIDA
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 911 WALLACE CT
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City | LAKE MARY
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State | FL
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Zip | 32746-2177
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Country | US
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Telephone | 407-585-1480
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22653
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City | TAMPA
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State | FL
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Zip | 33622-2653
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Country | US
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Telephone | 407-585-1480
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Fax |
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Authorized Official
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Title or Position | CITY MANAGER
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Name | MICHAEL JOHANSMEYER
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Credential | DO
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Telephone | 407-585-1480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 3273
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License Number State | FL
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