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General NPI Number Information
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NPI Number | 1770973729
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Entity Type | Organization
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Legal Business Name | HEALTHCARE PARTNERS FAMILY MEDICINE
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 1501 N US HIGHWAY 441 STE 1702
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City | THE VILLAGES
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State | FL
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Zip | 32159-8999
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Country | US
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Telephone | 452-750-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 HWY 441 N SUITE 1702
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City | THE VILLAGES
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State | FL
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Zip | 32159
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Country | US
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Telephone | 452-750-4333
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHEILA KEENE-LUND
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Credential |
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Telephone | 352-750-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 605594
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License Number State | FL
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