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General NPI Number Information
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NPI Number | 1376132134
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Entity Type | Organization
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Legal Business Name | PRECISE HEALTHCARE GROUP LLC
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 1060 WILLA SPRINGS DR
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5214
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Country | US
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Telephone | 407-310-3439
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Fax | 855-958-5403
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Provider Business Mailing Address
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Address Line | 1060 WILLA SPRINGS DR
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5214
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Country | US
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Telephone | 407-310-3439
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Fax | 855-958-5403
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Authorized Official
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Title or Position | MANAGER
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Name | OLIVER DAWOUD
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Credential |
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Telephone | 407-310-3439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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