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General NPI Number Information
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NPI Number | 1609953066
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Entity Type | Organization
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Legal Business Name | PEDS TO GO INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 4448 EDGEWATER DR
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City | ORLANDO
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State | FL
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Zip | 32804-1216
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Country | US
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Telephone | 407-513-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 4448 EDGEWATER DR
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City | ORLANDO
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State | FL
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Zip | 32804-1216
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Country | US
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Telephone | 407-513-3000
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Fax |
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Authorized Official
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Title or Position | MANAGER OF FINANCIAL SERVICES
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Name | MRS. MELISSA OHLMACHER
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Credential |
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Telephone | 407-513-3108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 2278H0200X
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Taxonomy Name | Home Health Certified Respiratory Therapist
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 2278P3900X
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Taxonomy Name | Neonatal/Pediatric Certified Respiratory Therapist
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #13
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HHA 209360961
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License Number State | FL
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Taxonomy #14
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | HHA 209360961
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License Number State | FL
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