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General NPI Number Information
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NPI Number | 1336965466
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Entity Type | Organization
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Legal Business Name | PROMEDVIEW, LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 1808 CHADBURY LOOP
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City | DAVENPORT
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State | FL
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Zip | 33837-3647
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Country | US
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Telephone | 407-988-4090
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Fax | 407-545-8000
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Provider Business Mailing Address
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Address Line | 7862 W IRLO BRONSON MEMORIAL HWY SUITE 334
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City | KISSIMMEE
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State | FL
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Zip | 34747
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Country | US
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Telephone | 407-988-4090
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Fax | 407-545-8000
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MS. DELAINNE IVY BOND
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Credential | BSN, RN
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Telephone | 407-988-4090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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