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General NPI Number Information
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NPI Number | 1609469972
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Entity Type | Organization
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Legal Business Name | WRAPAROUND FLORIDDA
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 5050 S US HIGHWAY 17/92 STE 106
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City | CASSELBERRY
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State | FL
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Zip | 32707-3863
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Country | US
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Telephone | 407-779-1613
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Fax |
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Provider Business Mailing Address
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Address Line | 5050 S US HIGHWAY 17/92 STE 106
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City | CASSELBERRY
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State | FL
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Zip | 32707-3863
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Country | US
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Telephone | 407-779-1613
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. DOMINIQUE MATHURIN
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Credential |
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Telephone | 407-779-1613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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