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General NPI Number Information
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NPI Number | 1659265270
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Entity Type | Organization
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Legal Business Name | SIDESTEP HEALTH AI PC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 515 N FLAGLER DR STE 1250
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-4341
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Country | US
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Telephone | 617-618-3080
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Fax |
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Provider Business Mailing Address
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Address Line | 300 S ORANGE AVE STE 1000
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City | ORLANDO
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State | FL
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Zip | 32801-5403
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Country | US
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Telephone | 617-618-3080
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID MEDVEDEFF
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Credential |
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Telephone | 857-344-0852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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