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General NPI Number Information
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NPI Number | 1760719439
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Entity Type | Organization
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Legal Business Name | MEDICAL HOME DOCTORS
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 12336 SOUTHBRIDGE TER
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City | HUDSON
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State | FL
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Zip | 34669-5037
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Country | US
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Telephone | 908-230-5458
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Fax | 727-857-4108
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Provider Business Mailing Address
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Address Line | 12336 SOUTHBRIDGE TER
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City | HUDSON
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State | FL
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Zip | 34669-5037
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Country | US
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Telephone | 908-230-5458
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Fax | 727-857-4108
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Authorized Official
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Title or Position | OWNER
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Name | KINDNESS UZOHO
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Credential |
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Telephone | 908-230-5458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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