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General NPI Number Information
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NPI Number | 1770032070
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Entity Type | Organization
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Legal Business Name | SINAI HEALTHCARE
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 910 OLD CAMP RD SUITE 144
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City | THE VILLAGES
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State | FL
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Zip | 32162-5604
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Country | US
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Telephone | 352-753-2224
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Fax | 352-753-0833
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Provider Business Mailing Address
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Address Line | 910 OLD CAMP RD SUITE 144
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City | THE VILLAGES
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State | FL
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Zip | 32162-5604
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Country | US
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Telephone | 352-753-2224
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Fax | 352-753-0833
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Authorized Official
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Title or Position | CEO
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Name | DR. FELIX AGBO
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Credential | MD
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Telephone | 352-753-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 9346356
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License Number State | FL
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