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General NPI Number Information
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NPI Number | 1689948069
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Entity Type | Organization
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Legal Business Name | VANGUARD MEDICAL CENTER LLC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 711 S HIGHWAY 27 SUITE E
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City | CLERMONT
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State | FL
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Zip | 34711-2791
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Country | US
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Telephone | 352-243-9355
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Fax | 352-243-9334
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Provider Business Mailing Address
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Address Line | 711 S HIGHWAY 27 SUITE E
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City | CLERMONT
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State | FL
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Zip | 34711-2791
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Country | US
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Telephone | 352-243-9355
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Fax | 352-243-9334
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. FRANDZIE DAPHNIS
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Credential | FNP-BC
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Telephone | 352-243-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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