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General NPI Number Information
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NPI Number | 1740098367
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Entity Type | Organization
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Legal Business Name | DOL DOCTORS LLC
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Dates
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Enumeration Date | 12/28/2024
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 6013 WESLEY GROVE BLVD STE 105
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8415
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Country | US
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Telephone | 813-230-4410
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Fax | 813-886-6959
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Provider Business Mailing Address
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Address Line | 6013 WESLEY GROVE BLVD STE 105
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8415
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Country | US
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Telephone | 813-230-4410
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | HILDA OBI-ANADIUME
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Credential | DNP
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Telephone | 813-230-4410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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