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General NPI Number Information
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NPI Number | 1437723426
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Entity Type | Organization
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Legal Business Name | HEART2HEART CLINIC & INFUSION PLLC
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 228 N. MAIN ST
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City | HASTINGS
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State | FL
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Zip | 32145
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Country | US
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Telephone | 904-512-5544
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Fax | 904-289-4544
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Provider Business Mailing Address
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Address Line | 346 UNDERWOOD TRL
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City | PALM COAST
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State | FL
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Zip | 32164-5709
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Country | US
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Telephone | 904-377-0996
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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. RAMONICA FLAGLER
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Credential | NP
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Telephone | 904-512-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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