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General NPI Number Information
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NPI Number | 1316857915
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Entity Type | Organization
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Legal Business Name | ADVENTHEALTH POLK NORTH INC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 280 PATTERSON RD STE 4
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City | HAINES CITY
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State | FL
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Zip | 33844-6261
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Country | US
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Telephone | 863-422-8123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 947372
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City | ATLANTA
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State | GA
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Zip | 30394-7372
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ALAN JUSTIN HENGESBACH
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Credential |
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Telephone | 863-419-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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