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General NPI Number Information
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NPI Number | 1366381469
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Entity Type | Organization
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Legal Business Name | EH MEDICAL GROUP LLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 15815 SHADDOCK DR STE 130
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5773
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Country | US
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Telephone | 407-605-2321
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Fax |
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Provider Business Mailing Address
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Address Line | 15815 SHADDOCK DR STE 130
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5773
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Country | US
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Telephone | 407-605-2321
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | ADAM SIEGEL
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Credential |
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Telephone | 407-605-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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