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General NPI Number Information
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NPI Number | 1992166284
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Entity Type | Organization
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Legal Business Name | ACCESS IPC LLC
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 102 W PINELOCH AVE STE 11
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City | ORLANDO
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State | FL
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Zip | 32806-6100
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Country | US
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Telephone | 407-423-4761
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Fax | 407-422-9327
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Provider Business Mailing Address
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Address Line | 102 W PINELOCH AVE STE 11
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City | ORLANDO
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State | FL
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Zip | 32806-6100
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Country | US
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Telephone | 407-423-4761
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Fax | 407-422-9327
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JANELLE HAYES
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Credential |
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Telephone | 407-447-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS9066
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License Number State | FL
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