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General NPI Number Information
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NPI Number | 1356088520
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Entity Type | Organization
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Legal Business Name | MEDFIT CARE
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 851 W SR 436 STE 1039
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3041
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Country | US
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Telephone | 407-571-9074
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Fax | 407-571-9175
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Provider Business Mailing Address
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Address Line | 851 W SR 436 STE 1039
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3041
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Country | US
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Telephone | 407-571-9074
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Fax | 407-571-9175
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Authorized Official
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Title or Position | OWNER/APRN
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Name | OLGA SEOANES
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Credential | APRN
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Telephone | 407-571-9074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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