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General NPI Number Information
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NPI Number | 1639759475
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Entity Type | Organization
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Legal Business Name | SANTE PLUS MEDICAL CENTER
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 3822 BROADWAY STE A&B
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City | FORT MYERS
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State | FL
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Zip | 33901-8148
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Country | US
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Telephone | 239-603-2377
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Fax | 561-293-7717
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Provider Business Mailing Address
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Address Line | 3822 BROADWAY STE A&B
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City | FORT MYERS
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State | FL
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Zip | 33901-8148
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Country | US
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Telephone | 239-603-2377
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Fax | 561-293-7717
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Authorized Official
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Title or Position | PRACTICE ADMIN
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Name | MEGAN HAAPANEN
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Credential |
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Telephone | 239-482-8788
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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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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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