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General NPI Number Information
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NPI Number | 1932770088
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Entity Type | Organization
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Legal Business Name | ENVISION HEALTH
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/11/2021
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Provider Practice Location Address
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Address Line | 4427 SAXON DR
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-4136
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Country | US
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Telephone | 973-202-4369
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Fax |
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Provider Business Mailing Address
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Address Line | 4427 SAXON DR
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-4136
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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 | MEDICAL BILLER
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Name | MRS. LOLITA ECHEVARRIA
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Credential |
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Telephone | 862-686-7977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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