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General NPI Number Information
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NPI Number | 1659888394
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Entity Type | Organization
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Legal Business Name | AFFORDABLE PRIMARY CARE, LLC
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1840 CLASSIQUE LN
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City | TAVARES
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State | FL
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Zip | 32778-5748
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Country | US
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Telephone | 352-483-3730
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Fax | 352-508-9661
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Provider Business Mailing Address
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Address Line | 1840 CLASSIQUE LN
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City | TAVARES
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State | FL
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Zip | 32778-5748
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Country | US
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Telephone | 352-483-3730
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Fax | 352-508-9661
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Authorized Official
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Title or Position | PHYSICIAN
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Name | WENDY SHARON PERROTT
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Credential | MD
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Telephone | 352-483-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME0066695
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License Number State | FL
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