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General NPI Number Information
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NPI Number | 1265169833
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Entity Type | Individual
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Provider Name | SERAPHIN LINDOR
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Gender | Male
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 9346 JAYBIRD CIRCLE EAST
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City | JACKSONVILLE
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State | FL
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Zip | 32257-3225
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Country | US
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Telephone | 82-821-5535
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 508-282-1553
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | L536-780-77-089-0
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License Number State | FL
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