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General NPI Number Information
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NPI Number | 1780483321
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Entity Type | Organization
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Legal Business Name | REGINA ASIHENE MD LLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 3130 OPPORTUNITY CT
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City | SOUTH DAYTONA
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State | FL
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Zip | 32119-3457
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Country | US
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Telephone | 386-451-6871
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Fax |
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Provider Business Mailing Address
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Address Line | 5856 BOGGS FORD RD
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City | PORT ORANGE
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State | FL
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Zip | 32127-5822
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Country | US
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Telephone | 386-451-6871
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REGINA ASIHENE
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Credential | MD
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Telephone | 386-451-6871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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