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General NPI Number Information
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NPI Number | 1275297293
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Entity Type | Organization
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Legal Business Name | ADVENTIST HEALTH SYSTEM/SUNBELT, INC
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 4757 THE GROVE DR STE 132
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City | WINDERMERE
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State | FL
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Zip | 34786-8426
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Country | US
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Telephone | 407-200-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 WESTHALL LN
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City | MAITLAND
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State | FL
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Zip | 32751-7102
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Country | US
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Telephone | 407-200-2300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SCOTT C BRADY
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Credential | MD
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Telephone | 407-200-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics 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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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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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