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General NPI Number Information
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NPI Number | 1417042219
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Entity Type | Organization
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Legal Business Name | CITY OF LONGWOOD
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 305 S MILWEE ST
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City | LONGWOOD
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State | FL
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Zip | 32750-4131
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Country | US
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Telephone | 407-260-3490
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 917490
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City | ORLANDO
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State | FL
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Zip | 32891-7490
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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 | CHIEF
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Name | MICHAEL PETERS
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Credential |
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Telephone | 407-260-3490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 3282
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License Number State | FL
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