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General NPI Number Information
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NPI Number | 1912653551
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Entity Type | Organization
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Legal Business Name | EMERGENT HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 4842 CYPRESS GARDENS RD
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City | WINTER HAVEN
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State | FL
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Zip | 33884-2908
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Country | US
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Telephone | 863-732-1355
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Fax |
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Provider Business Mailing Address
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Address Line | 111 W CENTRAL AVE STE 1964
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City | WINTER HAVEN
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State | FL
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Zip | 33880-6320
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TRAMAINE MYERS
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Credential |
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Telephone | 863-732-1355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 305S00000X
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Taxonomy Name | Point of Service
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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