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General NPI Number Information
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NPI Number | 1467830471
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Entity Type | Organization
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Legal Business Name | ALMARK HEALTH SERVICES II
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 4502 ALMARK DR
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City | ORLANDO
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State | FL
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Zip | 32839-1330
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Country | US
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Telephone | 407-816-2019
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Fax | 407-654-0332
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Provider Business Mailing Address
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Address Line | 13920 EYLEWOOD DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4664
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Country | US
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Telephone | 407-656-2443
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Fax | 407-654-0332
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. TEXUS WALLACE
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Credential |
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Telephone | 407-656-2443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | AL9894
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License Number State | FL
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