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General NPI Number Information
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NPI Number | 1841891777
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Entity Type | Organization
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Legal Business Name | MEDICAL RISK SOLUTIONS LLC
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 445 ISHIE AVE
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City | BRONSON
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State | FL
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Zip | 32621-6204
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Country | US
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Telephone | 352-486-3420
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 REW CIR STE 200
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City | OCOEE
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State | FL
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Zip | 34761-2967
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Country | US
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Telephone | 407-654-5414
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Fax |
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | JASON TOMLINSON
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Credential |
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Telephone | 407-470-6439
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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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