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General NPI Number Information
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NPI Number | 1275291163
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Entity Type | Organization
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Legal Business Name | ADEPT HEALTH & WELLNESS
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 945 E BRANDON BLVD
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City | BRANDON
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State | FL
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Zip | 33511-5500
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Country | US
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Telephone | 813-692-6981
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Fax |
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Provider Business Mailing Address
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Address Line | 10536 CORY LAKE DR
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City | TAMPA
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State | FL
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Zip | 33647-2710
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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 | PHYSICIAN/CMO/COO
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Name | DR. DELPHINE FONTCHA
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Credential |
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Telephone | 813-692-6981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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