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General NPI Number Information
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NPI Number | 1699241703
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HEALTH X4
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 483 N SEMORAN BLVD
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City | WINTER PARK
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State | FL
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Zip | 32792-3800
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Country | US
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Telephone | 407-434-9212
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Fax |
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Provider Business Mailing Address
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Address Line | 1069 S. CLARKE RD
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City | OCOEE
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State | FL
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Zip | 34761
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RYAN J NAUGHTIN
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Credential | MD
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Telephone | 407-434-9212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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