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General NPI Number Information
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NPI Number | 1942753793
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Entity Type | Organization
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Legal Business Name | ORLANDO HEALTH
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 1414 KUHL AVE MP44
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City | ORLANDO
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State | FL
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Zip | 32806-2008
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Country | US
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Telephone | 321-841-8169
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 KUHL AVE MP44
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City | ORLANDO
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State | FL
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Zip | 32806-2008
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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 | SR. ACADEMIC PROGRAM MANAGER
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Name | CHELLE KOZY
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Credential |
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Telephone | 321-841-8933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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