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General NPI Number Information
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NPI Number | 1528729456
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Entity Type | Organization
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Legal Business Name | NEXTREND HEALTH INC.
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 1133 MELINDA LN
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City | HAVERHILL
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State | FL
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Zip | 33417-5816
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Country | US
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Telephone | 561-568-3795
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 MELINDA LN
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City | HAVERHILL
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State | FL
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Zip | 33417-5816
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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 | PRESIDENT
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Name | ANDRE RAJOO
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Credential |
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Telephone | 561-568-3795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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