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General NPI Number Information
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NPI Number | 1639691215
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Entity Type | Organization
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Legal Business Name | OHANA HEALTH P.A.
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 50 SPRING VISTA DR
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City | DEBARY
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State | FL
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Zip | 32713
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Country | US
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Telephone | 386-748-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 50 SPRING VISTA DR
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City | DEBARY
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State | FL
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Zip | 32713-1809
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Country | US
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Telephone | 386-279-3087
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KRISTYNA D PARADIS
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Credential | D.O.
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Telephone | 386-279-3087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS8737
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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