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General NPI Number Information
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NPI Number | 1780871798
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Entity Type | Organization
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Legal Business Name | ADVENTIST HEALTH SYSTEMS SUNBELT
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 8014 CONROY-WINDERMERE ROAD SUITE 104
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City | ORLANDO
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State | FL
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Zip | 32835
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Country | US
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Telephone | 407-291-9960
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Fax | 407-296-5220
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Provider Business Mailing Address
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Address Line | 901 N LAKE DESTINY RD SUITE 400
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City | MAITLAND
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State | FL
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Zip | 32751-4844
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Country | US
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Telephone | 407-200-2860
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Fax | 407-200-1365
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Authorized Official
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Title or Position | CEO
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Name | SCOTT C BRADY
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Credential | M.D.
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Telephone | 407-200-2860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | ME 83639
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License Number State | FL
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