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General NPI Number Information
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NPI Number | 1316260789
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Entity Type | Organization
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Legal Business Name | ORLANDO HEALTH INC.
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 03/12/2010
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Provider Practice Location Address
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Address Line | 601 W MICHIGAN ST
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City | ORLANDO
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State | FL
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Zip | 32805-6203
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Country | US
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Telephone | 407-317-7439
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Fax | 407-843-9027
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Provider Business Mailing Address
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Address Line | 601 W MICHIGAN ST
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City | ORLANDO
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State | FL
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Zip | 32805-6203
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Country | US
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Telephone | 407-317-7439
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Fax | 407-843-9027
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Authorized Official
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Title or Position | MEDICAL DIRECTOR CHILD PROTECTION T
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Name | DR. MARIUS KELSER
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Credential | M.D.
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Telephone | 407-317-7430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP2989332
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License Number State | FL
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