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General NPI Number Information
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NPI Number | 1194838136
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Entity Type | Organization
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Legal Business Name | VERSAILLES DIAGNOSTIC MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 3850 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32806-2708
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Country | US
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Telephone | 407-896-4611
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Fax | 407-896-4612
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Provider Business Mailing Address
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Address Line | 3850 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32806-2708
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Country | US
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Telephone | 407-896-4611
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Fax | 407-896-4612
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. ARMANDO RAMOS
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Credential |
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Telephone | 407-896-4611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC6218
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License Number State | FL
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