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General NPI Number Information
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NPI Number | 1154819001
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Entity Type | Organization
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Legal Business Name | NONA MINIMALLY INVASIVE SURGERY, PLLC
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 12601 NARCOOSSEE RD STE 209
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City | ORLANDO
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State | FL
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Zip | 32832
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Country | US
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Telephone | 407-605-3777
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Fax | 321-473-4839
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Provider Business Mailing Address
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Address Line | 12601 NARCOOSSEE RD STE 209
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City | ORLANDO
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State | FL
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Zip | 32832-6923
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Country | US
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Telephone | 407-605-3777
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Fax | 321-473-4839
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Authorized Official
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Title or Position | OWNER
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Name | CHETAN JITENDRA PATEL
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Credential | MD
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Telephone | 352-408-3186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME133810
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License Number State | FL
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