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General NPI Number Information
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NPI Number | 1508314055
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Entity Type | Organization
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Legal Business Name | ENHANCE HEALTH INC.
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 11709 HOLLY CREEK DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-2018
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Country | US
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Telephone | 813-569-9601
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Fax | 813-609-6784
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Provider Business Mailing Address
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Address Line | 11709 HOLLY CREEK DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-2018
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Country | US
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Telephone | 813-569-9601
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Fax | 813-609-6784
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MS. WAVANEY M KETTLE
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Credential | RN
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Telephone | 813-569-9601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 21291
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 29361
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License Number State | FL
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