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General NPI Number Information
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NPI Number | 1225038235
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Entity Type | Individual
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Provider Name | DENNIS UMALI ATIENZA DO
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Gender | Male
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Dates
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Enumeration Date | 08/01/2005
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 6072 DOCTORS PARK
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City | MILTON
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State | FL
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Zip | 32570-5072
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Country | US
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Telephone | 850-626-5447
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Fax | 850-936-5808
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Provider Business Mailing Address
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Address Line | 6072 DOCTORS PARK
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City | MILTON
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State | FL
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Zip | 32570-5072
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Country | US
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Telephone | 850-626-5447
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Fax | 850-936-5808
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 02004255
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License Number State | IN
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