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NPI 1396223590

NPI 1396223590 : ADVENTIST HEALTH SYSTEM-SUNBELT INC : APOPKA, FL

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General NPI Number Information
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    NPI Number           |    1396223590
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVENTIST HEALTH SYSTEM-SUNBELT INC 
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Dates
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    Enumeration Date     |    07/31/2018
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    Last Update Date     |    03/19/2019
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Provider Practice Location Address
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    Address Line         |    2100 OCOEE APOPKA RD 
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    City                 |    APOPKA
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    State                |    FL
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    Zip                  |    32703-9210
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    Country              |    US
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    Telephone            |    407-303-2907
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    Fax                  |    407-609-7380
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Provider Business Mailing Address
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    Address Line         |    PO BOX 540419 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32854
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     HOWARD  SMITH 
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    Credential           |    PHARM. D.
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    Telephone            |    407-303-7388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    PH31446
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    License Number State |    FL
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