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General NPI Number Information
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NPI Number | 1336154053
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Entity Type | Organization
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Legal Business Name | HERNANDO FAMILY PRACTICE CENTER INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 10499 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34608-5045
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Country | US
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Telephone | 352-688-0401
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Fax | 352-688-0404
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Provider Business Mailing Address
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Address Line | 10499 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34608-5045
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Country | US
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Telephone | 352-688-0401
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Fax | 352-688-0404
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINGAPPA AMARCHAND
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Credential | MD
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Telephone | 352-683-6057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 200500389247
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License Number State | FL
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