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General NPI Number Information
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NPI Number | 1780375147
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Entity Type | Organization
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Legal Business Name | ANYWHEREMD
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 2701 STATE RD HWY 66
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City | SEBRING
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State | FL
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Zip | 33875
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Country | US
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Telephone | 786-948-6461
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Fax | 863-228-8625
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Provider Business Mailing Address
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Address Line | 4200 SEBRING PKWY # 150
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City | SEBRING
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State | FL
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Zip | 33870-6610
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAURA HERNANDEZ
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Credential |
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Telephone | 786-948-6461
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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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