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General NPI Number Information
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NPI Number | 1659964104
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Entity Type | Organization
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Legal Business Name | NEUROLOGY & MOVEMENT DISORDERS HEALTHCARE, PA
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 2291 GLENWOOD DR
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City | WINTER PARK
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State | FL
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Zip | 32792-3311
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Country | US
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Telephone | 407-627-1325
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Fax | 407-734-1052
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Provider Business Mailing Address
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Address Line | 2291 GLENWOOD DR
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City | WINTER PARK
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State | FL
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Zip | 32792-3311
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Country | US
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Telephone | 407-627-1325
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Fax | 407-734-1052
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Authorized Official
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Title or Position | NEUROLOGIST
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Name | SHEILA BAEZ-TORRES
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Credential | MD
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Telephone | 786-325-5910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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