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General NPI Number Information
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NPI Number | 1972938868
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Entity Type | Organization
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Legal Business Name | CHECK-IN CLINIC LLC
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 5660 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32822-1445
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Country | US
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Telephone | 407-774-6800
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Fax | 407-774-6806
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Provider Business Mailing Address
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Address Line | 1900 BOOTHE CIR SUITE 100
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City | LONGWOOD
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State | FL
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Zip | 32750-6751
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Country | US
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Telephone | 407-774-6800
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Fax | 407-774-6806
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. EDUARDO TOBENAS
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Credential | D.C.
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Telephone | 407-774-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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