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General NPI Number Information
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NPI Number | 1447898457
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Entity Type | Organization
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Legal Business Name | HYPERBARIC THERAPY OF JACKSONVILLE
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 11701 SAN JOSE BLVD STE 108
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City | JACKSONVILLE
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State | FL
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Zip | 32223-0756
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Country | US
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Telephone | 407-984-7757
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Fax |
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Provider Business Mailing Address
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Address Line | 6750 AVERY MUIRFIELD DR
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City | DUBLIN
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State | OH
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Zip | 43017-1202
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Country | US
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Telephone | 614-733-4268
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Fax |
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Authorized Official
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Title or Position | CLINIC COORDINATOR
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Name | CHRIS DODSON
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Credential |
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Telephone | 614-407-4268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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