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General NPI Number Information
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NPI Number | 1962186502
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Entity Type | Organization
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Legal Business Name | CMB HEALTH INCORPORATED
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 2081 SUWANNEE BANKS ST
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City | CLERMONT
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State | FL
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Zip | 34711-9548
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Country | US
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Telephone | 407-781-6531
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Fax |
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Provider Business Mailing Address
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Address Line | 2081 SUWANNEE BANKS ST
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City | CLERMONT
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State | FL
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Zip | 34711-9548
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Country | US
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Telephone | 407-781-6531
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LOVELL BURRELL
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Credential |
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Telephone | 407-781-6531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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