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General NPI Number Information
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NPI Number | 1437929445
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Entity Type | Organization
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Legal Business Name | ORLANDO INJURY CARE LLC
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 5555 E MICHIGAN ST STE 104
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City | ORLANDO
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State | FL
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Zip | 32822-2700
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Country | US
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Telephone | 407-412-5567
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 E MICHIGAN ST STE 104
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City | ORLANDO
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State | FL
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Zip | 32822-2700
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Country | US
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Telephone | 407-412-5567
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Fax |
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Authorized Official
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Title or Position | PART OWNER
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Name | ANDREW KAMMERER
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Credential |
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Telephone | 317-224-7242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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