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General NPI Number Information
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NPI Number | 1770978249
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Entity Type | Organization
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Legal Business Name | GET DOWN WITH DARA
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 600 RIVER BIRCH CT APT. 834
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City | CLERMONT
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State | FL
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Zip | 34711-5166
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Country | US
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Telephone | 352-433-5551
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Fax |
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Provider Business Mailing Address
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Address Line | 600 RIVER BIRCH CT APT. 834
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City | CLERMONT
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State | FL
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Zip | 34711-5166
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Country | US
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Telephone | 352-433-5551
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DARA N TURNER
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Credential |
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Telephone | 352-433-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | CI168-15
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License Number State | FL
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