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General NPI Number Information
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NPI Number | 1396450102
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Entity Type | Organization
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Legal Business Name | THE ASSESSMENT CLINIC, LLC
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 1150 DOUGLAS AVE STE 2100
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2098
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Country | US
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Telephone | 321-277-3681
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Fax |
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Provider Business Mailing Address
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Address Line | 1761 STRATHMORE CIR
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City | MOUNT DORA
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State | FL
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Zip | 32757-8809
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Country | US
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Telephone | 321-277-3681
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LAKEISHA L WEEKS
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Credential | APRN
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Telephone | 321-277-3681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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