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General NPI Number Information
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NPI Number | 1750720173
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Entity Type | Organization
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Legal Business Name | DAYCARE DOCS
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 1401 FALCONCREST BLVD
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City | APOPKA
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State | FL
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Zip | 32712-2355
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Country | US
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Telephone | 321-624-0961
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 FALCONCREST BLVD
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City | APOPKA
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State | FL
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Zip | 32712-2355
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Country | US
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Telephone | 321-624-0961
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. NICOLE BRANWELL
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Credential | MD, MBA
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Telephone | 321-624-0961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME72791
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License Number State | FL
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