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NPI 1902363443

NPI 1902363443 : ALEGIS CARE OF FLORIDA PA : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1902363443
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALEGIS CARE OF FLORIDA PA 
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Dates
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    Enumeration Date     |    02/20/2019
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    Last Update Date     |    02/02/2022
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Provider Practice Location Address
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    Address Line         |    6272 LEE VISTA BLVD 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32822-5148
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    Country              |    US
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    Telephone            |    773-292-4800
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    Fax                  |    312-564-4059
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Provider Business Mailing Address
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    Address Line         |    730 COOL SPRINGS BLVD STE 500 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-7331
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    Country              |    US
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    Telephone            |    773-292-4800
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    Fax                  |    312-546-4059
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     ROBYN C COLLINS 
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    Credential           |    
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    Telephone            |    312-262-2739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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