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General NPI Number Information
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NPI Number | 1851373112
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Entity Type | Organization
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Legal Business Name | ABSOLUTE FAMILY CARE LLC
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 3007 RIDGELINE BLVD STE B
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-9103
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Country | US
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Telephone | 727-945-7122
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Fax | 727-945-7121
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Provider Business Mailing Address
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Address Line | 3007 RIDGELINE BLVD STE B
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-9103
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Country | US
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Telephone | 727-945-7122
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Fax | 727-945-7121
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | DR. JULIETTE KIRSTIN GITTINGER
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Credential | DO
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Telephone | 727-945-7122
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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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