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General NPI Number Information
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NPI Number | 1336683168
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Entity Type | Organization
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Legal Business Name | BUSINESS CENTRAL, LLC
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 5201 NW 34TH BLVD FL 32605
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City | GAINESVILLE
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State | FL
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Zip | 32605-1153
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Country | US
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Telephone | 352-240-1136
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Fax |
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Provider Business Mailing Address
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Address Line | 5124 SW 82ND TER
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City | GAINESVILLE
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State | FL
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Zip | 32608-7406
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Country | US
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Telephone | 352-514-9798
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BEVERLY KRAUS
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Credential | RD, LD, CDE
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Telephone | 352-514-9798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | ND2174
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License Number State | FL
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