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General NPI Number Information
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NPI Number | 1578384996
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Entity Type | Organization
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Legal Business Name | DOVE MEDICAL CLINIC LLC
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 35600 US HWY 27 N
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City | HAINES CITY
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State | FL
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Zip | 33844-3731
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Country | US
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Telephone | 863-777-2899
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Fax | 863-594-1631
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Provider Business Mailing Address
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Address Line | PO BOX 626
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City | LOUGHMAN
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State | FL
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Zip | 33858-0626
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Country | US
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Telephone | 720-737-1668
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE RENEE DOVE
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Credential | FNP
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Telephone | 720-737-1668
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #4
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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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