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General NPI Number Information
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NPI Number | 1811381924
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Entity Type | Organization
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Legal Business Name | RED LION JOBS
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 7421 N TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34243-1808
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Country | US
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Telephone | 941-807-2821
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Fax |
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Provider Business Mailing Address
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Address Line | 7421 N TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34243-1808
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Country | US
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Telephone | 941-807-2821
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENNIFER FRETZ-SMITH
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Credential | MS
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Telephone | 941-807-2821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | FL
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