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General NPI Number Information
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NPI Number | 1023004967
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Entity Type | Organization
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Legal Business Name | UNIVERSITY MEDICAL CARE, PA
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 471 N SEMORAN BLVD SUITE A
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City | WINTER PARK
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State | FL
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Zip | 32792-3803
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Country | US
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Telephone | 407-678-5656
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Fax | 407-677-5550
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Provider Business Mailing Address
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Address Line | 471 N SEMORAN BLVD SUITE A
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City | WINTER PARK
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State | FL
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Zip | 32792-3803
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Country | US
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Telephone | 407-678-5656
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Fax | 407-677-5550
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. RAJAN KAPOOR
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Credential | M.D.
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Telephone | 407-678-5656
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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 |
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License Number State | FL
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