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General NPI Number Information
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NPI Number | 1649845595
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Entity Type | Organization
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Legal Business Name | FLORIDA VIRTUAL SCHOOL
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 5422 CARRIER DR
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City | ORLANDO
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State | FL
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Zip | 32819-8394
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Country | US
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Telephone | 407-513-3354
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Fax | 407-377-8228
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Provider Business Mailing Address
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Address Line | 5422 CARRIER DR
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City | ORLANDO
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State | FL
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Zip | 32819-8394
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Country | US
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Telephone | 407-513-3354
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Fax | 407-377-8228
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. LOUIS ALGAZE
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Credential |
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Telephone | 407-513-3351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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