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General NPI Number Information
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NPI Number | 1225622301
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Entity Type | Organization
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Legal Business Name | WINDERMERE BABY AND FAMILY
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 7057 NOBLETON DR
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City | WINDERMERE
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State | FL
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Zip | 34786-6638
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Country | US
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Telephone | 407-760-1662
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Fax | 727-279-2103
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Provider Business Mailing Address
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Address Line | 7057 NOBLETON DR
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City | WINDERMERE
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State | FL
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Zip | 34786-6638
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Country | US
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Telephone | 407-760-1662
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Fax | 727-279-2103
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Authorized Official
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Title or Position | NURSE CONSULTANT
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Name | MRS. ROSEMARIE MOORE
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Credential | RN
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Telephone | 407-760-1662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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