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General NPI Number Information
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NPI Number | 1063280147
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Entity Type | Organization
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Legal Business Name | OSTEOPOROSIS AND ARTHRITIS ADVANCED CARE LLC
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 3721 S HWY 27 STE B
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City | CLERMONT
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State | FL
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Zip | 34711-7919
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Country | US
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Telephone | 352-995-9518
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Fax | 352-995-9519
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Provider Business Mailing Address
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Address Line | 3721 S HWY 27 STE B
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City | CLERMONT
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State | FL
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Zip | 34711-7919
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Country | US
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Telephone | 352-995-9518
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Fax | 352-995-9519
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MS. CAROLINA MEJIA OTERO
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Credential | M.D.
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Telephone | 407-355-7759
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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 |
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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