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General NPI Number Information
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NPI Number | 1417683707
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Entity Type | Organization
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Legal Business Name | DOVER SHORES FAMILY PRACTICE
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 4711 CURRY FORD RD STE B
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City | ORLANDO
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State | FL
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Zip | 32812-2704
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Country | US
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Telephone | 407-275-9014
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Fax | 407-277-9249
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Provider Business Mailing Address
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Address Line | PO BOX 38894
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City | BELFAST
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State | ME
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Zip | 04915-1230
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Country | US
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Telephone | 407-315-2271
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Fax | 877-397-3447
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Authorized Official
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Title or Position | MANAGER
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Name | ALINA FOSS
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Credential |
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Telephone | 904-422-2934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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