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General NPI Number Information
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NPI Number | 1568955805
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Entity Type | Organization
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Legal Business Name | MEDSURG HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 801 N ORANGE AVE STE 730
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City | ORLANDO
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State | FL
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Zip | 32801-5202
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Country | US
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Telephone | 407-848-1891
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3123
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32085-3123
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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 | MEDICAL DIRECTOR
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Name | CHRISTOPHER WALKER
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Credential | MD
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Telephone | 407-848-1891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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