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General NPI Number Information
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NPI Number | 1588864995
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Entity Type | Organization
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Legal Business Name | AFTER HOURS CARE PA
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 319 W CALL ST SUITE A
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City | STARKE
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State | FL
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Zip | 32091-3113
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Country | US
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Telephone | 904-966-2400
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Fax | 904-966-2407
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | STARKE
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State | FL
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Zip | 32091-0068
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Country | US
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Telephone | 904-966-2400
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Fax | 904-966-2407
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. TINA ELIZABETH BATTLES
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Credential | RN
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Telephone | 904-966-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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