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General NPI Number Information
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NPI Number | 1548735012
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Entity Type | Organization
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Legal Business Name | SEBRING NP SERVICES
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 4141 US HIGHWAY 27 N STE 5
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City | SEBRING
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State | FL
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Zip | 33870-1337
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Country | US
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Telephone | 863-202-6353
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Fax | 863-451-0005
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Provider Business Mailing Address
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Address Line | 4141 US HIGHWAY 27 N STE 5
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City | SEBRING
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State | FL
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Zip | 33870-1337
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Country | US
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Telephone | 863-202-6353
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Fax | 863-451-0005
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Authorized Official
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Title or Position | OWNER
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Name | AMY N DE LA FUENTE
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Credential | NP
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Telephone | 863-202-6353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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