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General NPI Number Information
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NPI Number | 1235602541
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Entity Type | Organization
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Legal Business Name | WC DOC-CHASERS
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 5220 69TH ST E
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City | PALMETTO
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State | FL
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Zip | 34221-9397
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Country | US
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Telephone | 727-871-3740
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Fax | 863-638-5145
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Provider Business Mailing Address
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Address Line | 5220 69TH ST E
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City | PALMETTO
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State | FL
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Zip | 34221-9397
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Country | US
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Telephone | 727-871-3740
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Fax | 863-638-5145
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Authorized Official
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Title or Position | OWNER
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Name | MRS. WENDY STALLINGS
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Credential |
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Telephone | 727-871-3740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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