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General NPI Number Information
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NPI Number | 1629357611
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Entity Type | Organization
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Legal Business Name | HARVEST TIME INTERNATIONAL MEDICAL CARE CENTER
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 225 N KENNEL RD
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City | SANFORD
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State | FL
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Zip | 32771-8814
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Country | US
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Telephone | 407-328-9900
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Fax | 407-878-5524
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Provider Business Mailing Address
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Address Line | 225 N KENNEL RD
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City | SANFORD
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State | FL
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Zip | 32771-8814
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Country | US
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Telephone | 407-328-9900
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Fax | 407-878-5524
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Authorized Official
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Title or Position | CEO
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Name | ANDRE SMOLINSKY
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Credential |
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Telephone | 407-328-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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