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General NPI Number Information
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NPI Number | 1285383042
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Entity Type | Organization
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Legal Business Name | GALENHEALTH MEDICAL CENTER LLC
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 9685 LAKE NONA VILLAGE PL STE 204
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City | ORLANDO
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State | FL
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Zip | 32827-7322
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Country | US
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Telephone | 321-888-2631
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Fax | 321-900-0012
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Provider Business Mailing Address
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Address Line | 9685 LAKE NONA VILLAGE PL STE 204
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City | ORLANDO
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State | FL
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Zip | 32827-7322
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Country | US
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Telephone | 321-888-2631
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Fax | 321-900-0012
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | BENITA MONIZE
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Credential | LCSW
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Telephone | 941-586-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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