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NPI 1477363547

NPI 1477363547 : CTM HEALTHCARE PLLC : DAVENPORT, FL

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General NPI Number Information
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    NPI Number           |    1477363547
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    Entity Type          |    Organization 
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    Legal Business Name  |    CTM HEALTHCARE PLLC 
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Dates
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    Enumeration Date     |    01/10/2025
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    Last Update Date     |    01/10/2025
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Provider Practice Location Address
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    Address Line         |    42733 HIGHWAY 27 STE 201 
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    City                 |    DAVENPORT
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    State                |    FL
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    Zip                  |    33837-6879
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    Country              |    US
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    Telephone            |    413-747-5566
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    57 MULBERRY ST 
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    City                 |    SPRINGFIELD
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    State                |    MA
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    Zip                  |    01105-1406
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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    |    CEO
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    Name                 |     CLAUDIA T MARTORELL 
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    Credential           |    
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    Telephone            |    413-747-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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