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General NPI Number Information
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NPI Number | 1568549194
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Entity Type | Organization
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Legal Business Name | VISITNG INHOME PHYSICIANS,INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 5913 S CONGRESS AVE SUITE C
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City | ATLANTIS
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State | FL
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Zip | 33462-1303
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Country | US
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Telephone | 561-296-5243
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Fax | 561-721-9581
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Provider Business Mailing Address
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Address Line | 5913 S CONGRESS AVE SUITE C
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City | ATLANTIS
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State | FL
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Zip | 33462-1303
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Country | US
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Telephone | 561-296-5243
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Fax | 561-721-9581
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. DAVID GREYDINGER
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Credential |
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Telephone | 561-296-5243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS7123
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License Number State | FL
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