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General NPI Number Information
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NPI Number | 1467275289
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Entity Type | Organization
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Legal Business Name | ORMOND MEDICAL ARTS
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 346 N RIDGEWOOD AVE STE A
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City | EDGEWATER
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State | FL
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Zip | 32132-1672
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Country | US
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Telephone | 386-423-1888
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Fax | 833-905-2435
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Provider Business Mailing Address
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Address Line | PO BOX 18854
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City | BELFAST
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State | ME
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Zip | 04915-4083
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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 | VP, REVENUE CYCLE
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Name | ROBIN CAMPBELL
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Credential |
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Telephone | 256-282-9568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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