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General NPI Number Information
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NPI Number | 1053602813
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Entity Type | Organization
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Legal Business Name | GLOBAL HEALTH RECORDS, INC.
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 1851 OLD MOULTRIE RD
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-4168
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Country | US
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Telephone | 904-794-7830
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Fax | 904-794-6940
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Provider Business Mailing Address
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Address Line | 604 KETTNER CT
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-6823
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Country | US
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Telephone | 904-794-7830
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Fax | 904-794-6940
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE ANTONIO DELGADO
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Credential |
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Telephone | 904-794-7830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ACN362
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN336
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ACN336
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License Number State | FL
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