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General NPI Number Information
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NPI Number | 1790903128
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Entity Type | Organization
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Legal Business Name | VISITING INHOME PHYSICIAN INC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 5913 S CONGRESS AVE
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City | ATLANTIS
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State | FL
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Zip | 33462-1303
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Country | US
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Telephone | 561-296-5243
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Fax | 561-721-9581
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Provider Business Mailing Address
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Address Line | 5913 S CONGRESS AVE
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City | ATLANTIS
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State | FL
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Zip | 33462-1303
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Country | US
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Telephone | 561-296-5243
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Fax | 561-721-9581
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID GREYDINGER
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Credential | DC
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Telephone | 561-296-5243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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