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General NPI Number Information
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NPI Number | 1306583448
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Entity Type | Organization
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Legal Business Name | NV MEDICAL ORLANDO INC
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 7680 UNIVERSAL BLVD STE 140
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City | ORLANDO
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State | FL
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Zip | 32819-9197
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Country | US
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Telephone | 407-730-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 7680 UNIVERSAL BLVD STE 140
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City | ORLANDO
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State | FL
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Zip | 32819-9197
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Country | US
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Telephone | 407-730-4244
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MELISSA HAHN
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Credential |
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Telephone | 301-401-2248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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