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General NPI Number Information
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NPI Number | 1912322934
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Entity Type | Organization
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Legal Business Name | OAKWOOD FAMILY PRACTICE, INC.
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 200 OAKWOOD DR SUITE 202
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City | OCALA
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State | FL
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Zip | 34472-2137
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Country | US
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Telephone | 352-687-8099
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Fax | 352-687-3646
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Provider Business Mailing Address
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Address Line | 200 OAKWOOD DR SUITE 202
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City | OCALA
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State | FL
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Zip | 34472-2137
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Country | US
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Telephone | 352-687-8099
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Fax | 352-687-3646
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | HENRIOT JEAN-BAPTISTE
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Credential | M.D.
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Telephone | 352-687-8099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | ME 69694
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0069694
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License Number State | FL
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