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General NPI Number Information
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NPI Number | 1255154076
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Entity Type | Organization
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Legal Business Name | ORMOND MEDICAL ARTS
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 2582 S VOLUSIA AVE
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City | ORANGE CITY
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State | FL
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Zip | 32763-9124
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Country | US
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Telephone | 386-960-2009
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Fax | 855-343-2142
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Provider Business Mailing Address
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Address Line | PO BOX 18854
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City | BELFAST
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State | ME
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Zip | 04915-4083
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP, REVENUE CYCLE
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Name | ROBIN CAMPBELL
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Credential |
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Telephone | 256-282-9568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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