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General NPI Number Information
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NPI Number | 1295974418
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Entity Type | Organization
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Legal Business Name | THE OCCUPATIONAL HEALTH CENTER , INC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 125 NEWBERN CIR
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City | AUBURNDALE
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State | FL
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Zip | 33823-3348
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Country | US
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Telephone | 863-965-1288
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Fax | 863-967-1297
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Provider Business Mailing Address
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Address Line | 125 NEWBERN CIR
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City | AUBURNDALE
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State | FL
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Zip | 33823-3348
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Country | US
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Telephone | 863-965-1288
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Fax | 863-967-1297
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | BRENDA FRANEY
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Credential |
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Telephone | 863-965-1288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | ME58218
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License Number State | FL
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