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General NPI Number Information
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NPI Number | 1093010563
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Entity Type | Organization
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Legal Business Name | TERESITA L. REPIEDAD, M.D., P.A.
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Dates
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Enumeration Date | 01/14/2011
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Last Update Date | 02/15/2011
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Provider Practice Location Address
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Address Line | 1216 SE 24TH RD
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City | OCALA
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State | FL
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Zip | 34471-6010
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Country | US
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Telephone | 352-351-0647
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Fax | 352-622-1342
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Provider Business Mailing Address
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Address Line | 1216 SE 24TH RD
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City | OCALA
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State | FL
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Zip | 34471-6010
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Country | US
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Telephone | 352-351-0647
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Fax | 352-622-1342
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | TERESITA L REPIEDAD
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Credential | M.D.
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Telephone | 352-351-0647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0033930
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License Number State | FL
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