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General NPI Number Information
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NPI Number | 1366393712
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Entity Type | Organization
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Legal Business Name | INTEGRAONE LLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1108 BELL SHOALS RD
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City | BRANDON
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State | FL
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Zip | 33511-8813
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Country | US
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Telephone | 813-359-8787
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Fax | 813-359-8788
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Provider Business Mailing Address
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Address Line | 1108 BELL SHOALS RD
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City | BRANDON
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State | FL
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Zip | 33511-8813
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Country | US
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Telephone | 813-359-8787
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Fax | 813-359-8788
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. ELIAS FEANNY
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Credential | MD
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Telephone | 305-519-5891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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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 | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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