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General NPI Number Information
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NPI Number | 1376142901
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL HEALTH AWARENESS CENTER INC
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Dates
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Enumeration Date | 10/24/2020
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Last Update Date | 10/24/2020
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Provider Practice Location Address
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Address Line | 1921 GROVE AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-7924
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Country | US
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Telephone | 239-209-4120
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Fax | 239-204-4327
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Provider Business Mailing Address
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Address Line | 1921 GROVE AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-7924
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Country | US
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Telephone | 239-209-4120
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Fax | 239-204-4327
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | MR. JONATANT LAURENT
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Credential |
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Telephone | 239-209-4120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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