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General NPI Number Information
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NPI Number | 1770999187
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Entity Type | Organization
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Legal Business Name | ADVENTIST HEALTH SYSTEM SUNBELT INC
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 100 N EDINBURGH DR SUITE 105
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City | WINTER PARK
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State | FL
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Zip | 32792-4125
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Country | US
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Telephone | 407-303-4013
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N EDINBURGH DR SUITE 105
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City | WINTER PARK
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State | FL
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Zip | 32792-4125
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Country | US
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Telephone | 407-303-4013
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. HENDERSON PETER
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Credential |
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Telephone | 407-200-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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