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General NPI Number Information
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NPI Number | 1346713492
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Entity Type | Organization
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Legal Business Name | ORLANDO HEALTH CENTRAL, INC.
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 1300 HEMPEL AVENUE
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City | OCOEE
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State | FL
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Zip | 34761
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Country | US
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Telephone | 407-296-1624
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Fax | 407-296-1639
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Provider Business Mailing Address
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Address Line | 411 N. DILLARD STREET
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City | WINTER GARDEN
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State | FL
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Zip | 34787
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Country | US
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Telephone | 407-296-1624
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Fax | 407-296-1639
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RONALD MILLINER
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Credential |
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Telephone | 407-296-1614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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