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General NPI Number Information
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NPI Number | 1659235059
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Entity Type | Organization
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Legal Business Name | AHI SPECIALTY CLINIC, INC.
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1434 KENNEDY DR
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City | KEY WEST
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State | FL
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Zip | 33040-4008
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Country | US
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Telephone | 305-296-6196
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Fax | 305-296-6337
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Provider Business Mailing Address
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Address Line | 1434 KENNEDY DR
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City | KEY WEST
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State | FL
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Zip | 33040-4008
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Country | US
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Telephone | 305-296-6196
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Fax | 305-296-6337
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SCOTT PRIDGEN
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Credential |
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Telephone | 305-293-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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