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General NPI Number Information
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NPI Number | 1285607200
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Entity Type | Organization
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Legal Business Name | DIALYSIS SER CENTRAL FLORIDA LLC
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 2501 N ORANGE AVE STE 537N
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City | ORLANDO
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State | FL
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Zip | 32804
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Country | US
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Telephone | 407-515-2200
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Fax | 407-515-2210
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Provider Business Mailing Address
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Address Line | 511 UNION ST STE 1800
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City | NASHVILLE
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State | TN
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Zip | 37219
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Country | US
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Telephone | 615-467-0134
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Fax | 615-234-2422
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Authorized Official
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Title or Position | OWNER MANAGER
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Name | DR. TIMOTHY D YOUELL
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Credential | MD
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Telephone | 407-894-4693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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