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General NPI Number Information
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NPI Number | 1346816030
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Entity Type | Organization
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Legal Business Name | PINEAPPLE HEALTHCARE INC.
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 06/22/2021
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Provider Practice Location Address
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Address Line | 1724 33RD ST STE 100
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City | ORLANDO
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State | FL
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Zip | 32839-8858
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Country | US
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Telephone | 407-553-6336
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Fax | 321-445-9733
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Provider Business Mailing Address
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Address Line | 7897 JUBILEE PARK BLVD APT 2212
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City | ORLANDO
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State | FL
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Zip | 32822-5254
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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 | PRESIDENT
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Name | MR. ETHAN M SUAREZ
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Credential |
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Telephone | 407-839-7278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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