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General NPI Number Information
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NPI Number | 1831424191
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Entity Type | Organization
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Legal Business Name | WEST ORLANDO MEDICAL AND CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 10/05/2009
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Provider Practice Location Address
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Address Line | 2250 E HIGHWAY 50 SUITE 2
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City | CLERMONT
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State | FL
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Zip | 34711-6002
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Country | US
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Telephone | 352-242-2537
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Fax | 352-242-2746
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Provider Business Mailing Address
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Address Line | 2250 E HIGHWAY 50 SUITE 2
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City | CLERMONT
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State | FL
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Zip | 34711-6002
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Country | US
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Telephone | 352-242-2537
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Fax | 352-242-2746
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN A LEOTTA
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Credential | DC
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Telephone | 352-242-2537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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