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General NPI Number Information
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NPI Number | 1992619399
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Entity Type | Organization
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Legal Business Name | CLINICCONNECTION, LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 901 CLARK ST
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City | OVIEDO
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State | FL
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Zip | 32765
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Country | US
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Telephone | 888-648-6273
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Fax |
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Provider Business Mailing Address
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Address Line | 1170 TREE SWALLOW DR STE 302
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-2826
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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 | CIO
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Name | MATTHEW CHRISTIAN CONLEY
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Credential |
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Telephone | 888-648-6273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NULL
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