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NPI 1962178459

NPI 1962178459 : ORLANDO HEALTH MEDICAL GROUP INC : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1962178459
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORLANDO HEALTH MEDICAL GROUP INC 
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Dates
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    Enumeration Date     |    08/17/2021
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    Last Update Date     |    08/17/2021
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Provider Practice Location Address
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    Address Line         |    92 W MILLER ST FL 8 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32806-2032
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    Country              |    US
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    Telephone            |    321-841-8588
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1414 KUHL AVE # MP38 
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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    |    VP, REVENUE MANAGEMENT
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    Name                 |     MICHELE  NAPIER 
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    Credential           |    
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    Telephone            |    321-841-3492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2080P0207X
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    Taxonomy Name        |    Pediatric Hematology & Oncology Physician
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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        |    2080P0210X
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    Taxonomy Name        |    Pediatric Nephrology Physician
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    License Number       |    
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    License Number State |    
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