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General NPI Number Information
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NPI Number | 1821869389
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Entity Type | Organization
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Legal Business Name | PRIMELIFE HEALTH LLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 7820 N ARMENIA AVE STE C
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City | TAMPA
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State | FL
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Zip | 33604-3852
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Country | US
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Telephone | 813-659-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 W TAMPA BAY BLVD
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City | TAMPA
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State | FL
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Zip | 33607-6619
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Country | US
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Telephone | 813-874-1509
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | DR. ORLANDO S RANGEL
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Credential | MD
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Telephone | 813-300-3741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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