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General NPI Number Information
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NPI Number | 1902847734
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Entity Type | Organization
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Legal Business Name | LAKEVIEW OCCUPATIONAL AND INDUSTRIAL CLINIC, P.A.
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3750 EMERGENCY LN SUITE 1
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City | SEBRING
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State | FL
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Zip | 33870-5536
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Country | US
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Telephone | 863-471-1511
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Fax | 863-471-1512
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Provider Business Mailing Address
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Address Line | 3750 EMERGENCY LN SUITE 1
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City | SEBRING
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State | FL
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Zip | 33870-5536
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Country | US
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Telephone | 863-471-1511
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Fax | 863-471-1512
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ASHLEY HEATH
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Credential |
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Telephone | 863-471-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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