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General NPI Number Information
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NPI Number | 1841271715
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Entity Type | Organization
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Legal Business Name | FLORIDA DEPARTMENT OF HEALTH
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 1900 27TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-3383
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Country | US
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Telephone | 772-794-7400
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Fax | 772-794-7453
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Provider Business Mailing Address
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Address Line | 1900 27TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-3383
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Country | US
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Telephone | 772-794-7400
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Fax | 772-794-7453
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MIRANDA HAWKER
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Credential | MPH
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Telephone | 772-794-7450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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