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General NPI Number Information
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NPI Number | 1043165632
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Entity Type | Organization
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Legal Business Name | NEW COUNTRY LLC
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 8615 COMMODITY CIR STE 17
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City | ORLANDO
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State | FL
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Zip | 32819-9072
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Country | US
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Telephone | 407-707-1815
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Fax |
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Provider Business Mailing Address
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Address Line | 6224 GOLDEN DEWDROP TRL
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City | WINDERMERE
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State | FL
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Zip | 34786-5697
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Country | US
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Telephone | 786-778-1423
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | JULIO OMAR ROJAS
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Credential | MSN, APRN, FNP-C
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Telephone | 786-778-1423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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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 | 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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