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General NPI Number Information
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NPI Number | 1811666753
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Entity Type | Organization
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Legal Business Name | CLEAR FUTURES LLC
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 2501 HOWELL BRANCH RD STE 1001
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City | CASSELBERRY
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State | FL
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Zip | 32707-6575
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Country | US
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Telephone | 407-636-3030
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Fax | 407-960-2194
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Provider Business Mailing Address
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Address Line | 2501 HOWELL BRANCH RD STE 1001
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City | CASSELBERRY
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State | FL
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Zip | 32707-6575
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Country | US
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Telephone | 407-636-3030
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Fax | 407-960-2194
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | KENDRA GATSON
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Credential |
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Telephone | 904-648-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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