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General NPI Number Information
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NPI Number | 1770393084
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Entity Type | Organization
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Legal Business Name | EASY ACCESS OF DAYTONA, INC.
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 421 S KEECH ST
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4623
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Country | US
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Telephone | 386-868-7012
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Fax |
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Provider Business Mailing Address
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Address Line | 1890 LPGA BLVD STE 160
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-7138
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Country | US
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Telephone | 386-868-7012
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAMELA CARBIENER
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Credential | MD
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Telephone | 386-295-4992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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