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General NPI Number Information
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NPI Number | 1477854370
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Entity Type | Organization
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Legal Business Name | MEDFIT, LLC
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Dates
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Enumeration Date | 11/08/2010
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 9510 CORKSCREW PALMS CIR STE 1
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City | ESTERO
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State | FL
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Zip | 33928-3308
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Country | US
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Telephone | 239-221-8299
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 GOLDEN GATE BLVD W
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City | NAPLES
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State | FL
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Zip | 34120-2175
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Country | US
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Telephone | 239-330-0232
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. NEEL AMIN
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Credential | MD
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Telephone | 954-628-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 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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