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NPI 1912863143

NPI 1912863143 : PERSONAL INJURY PAIN FIX LLC : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1912863143
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    Entity Type          |    Organization 
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    Legal Business Name  |    PERSONAL INJURY PAIN FIX LLC 
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Dates
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    Enumeration Date     |    12/31/2025
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    Last Update Date     |    12/31/2025
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Provider Practice Location Address
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    Address Line         |    801 N MAGNOLIA AVE 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32803-3851
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    Country              |    US
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    Telephone            |    866-651-4462
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    Fax                  |    407-537-0009
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Provider Business Mailing Address
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    Address Line         |    7025 COUNTY ROAD 46A STE 1071-210 
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    City                 |    LAKE MARY
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    State                |    FL
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    Zip                  |    32746-4721
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    Country              |    US
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    Telephone            |    407-738-1575
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    Fax                  |    407-537-0009
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Authorized Official
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    Title or Position    |    VP
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    Name                 |     REBEKAH  JACKSON 
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    Credential           |    
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    Telephone            |    407-738-1575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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