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General NPI Number Information
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NPI Number | 1063506905
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Entity Type | Individual
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Provider Name | LUIS ALEJANDRO JARAMILLO MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 14050 TOWN LOOP BLVD SUITE 204
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City | ORLANDO
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State | FL
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Zip | 32837-6190
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Country | US
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Telephone | 407-251-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 14050 TOWN LOOP BLVD SUITE 204
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City | ORLANDO
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State | FL
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Zip | 32837-6190
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Country | US
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Telephone | 407-251-8800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 49498
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | N2130
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | ME105409
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License Number State | FL
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