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General NPI Number Information
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NPI Number | 1851902332
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Entity Type | Organization
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Legal Business Name | VETERANS HEAT FACTORY, INC.
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 16230 AVIATION LOOP DR.
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City | BROOKSVILLE
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State | FL
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Zip | 34604-6804
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Country | US
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Telephone | 352-650-1512
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Fax | 352-799-4830
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Provider Business Mailing Address
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Address Line | 16230 AVIATION LOOP DR.
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City | BROOKSVILLE
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State | FL
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Zip | 34604-6804
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Country | US
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Telephone | 352-650-1512
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Fax | 352-799-4830
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Authorized Official
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Title or Position | CEO
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Name | GUS GUADAGNINO
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Credential |
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Telephone | 352-238-6126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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