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General NPI Number Information
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NPI Number | 1083428866
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Entity Type | Organization
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Legal Business Name | FUNDACION SANTA FE DE BOGOTA
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | CL 119 # 7 75
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City | USAQUEN
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State | BOGOTA DC
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Zip | 99999
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Country | CO
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Telephone | 601-482-4488
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39662
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City | FORT LAUDERDALE
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State | FL
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Zip | 33339-9662
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | HENRY M GALLARDO
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Credential |
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Telephone | 601-482-4488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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