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General NPI Number Information
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NPI Number | 1558513457
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Entity Type | Organization
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Legal Business Name | AAXESS HEALTH LLC
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 13085 N TELECOM PKWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-0926
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Country | US
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Telephone | 813-712-2900
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Fax | 813-712-2901
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Provider Business Mailing Address
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Address Line | 13083 N TELECOM PKWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-0926
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Country | US
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Telephone | 813-712-2900
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Fax | 813-712-2901
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Authorized Official
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Title or Position | V.P. PLANNING AND DEVELOPMENT
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Name | CHRISTOPHER VAN SANT
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Credential |
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Telephone | 813-712-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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