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General NPI Number Information
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NPI Number | 1578008116
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Entity Type | Organization
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Legal Business Name | HYPERBARIC HEALING TREATMENT CENTER LLC
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 7932 W SAND LAKE RD STE 103
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City | ORLANDO
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State | FL
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Zip | 32819-7299
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Country | US
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Telephone | 407-530-0710
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Fax | 407-530-0711
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Provider Business Mailing Address
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Address Line | 7932 W SAND LAKE RD STE 103
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City | ORLANDO
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State | FL
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Zip | 32819-7299
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Country | US
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Telephone | 407-530-0710
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Fax | 407-530-0711
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ERIKA JORDAN
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Credential | EMT, CHT
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Telephone | 407-530-0710
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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 | HCCE607441
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License Number State | FL
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