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General NPI Number Information
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NPI Number | 1407390446
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE MAITLAND, PLLC
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Dates
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Enumeration Date | 12/09/2016
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 110 NORTH ORLANDO AVENUE SUITE 14
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City | MAITLAND
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State | FL
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Zip | 32751
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Country | US
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Telephone | 407-335-4045
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Fax | 407-335-4279
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Provider Business Mailing Address
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Address Line | 1945 WEST COUNTY ROAD 419 SUITE 1101
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City | OVIEDO
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State | FL
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Zip | 32766
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Country | US
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Telephone | 407-366-2890
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Fax | 407-366-2843
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID HARBOUR
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Credential | D.O.
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Telephone | 407-366-2890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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