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NPI 1235560145

NPI 1235560145 : ANDREA BESSA CAMPELO BRAGA FIALHO M.D. : WINDERMERE, FL

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General NPI Number Information
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    NPI Number           |    1235560145
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREA BESSA CAMPELO BRAGA FIALHO M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/02/2013
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    Last Update Date     |    09/18/2025
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Provider Practice Location Address
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    Address Line         |    5151 WINTER GARDEN VINELAND RD STE 201 
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    City                 |    WINDERMERE
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    State                |    FL
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    Zip                  |    34786-6098
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    Country              |    US
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    Telephone            |    321-841-4344
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    Fax                  |    321-842-9360
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Provider Business Mailing Address
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    Address Line         |    5151 WINTER GARDEN VINELAND RD STE 201 
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    City                 |    WINDERMERE
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    State                |    FL
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    Zip                  |    34786-6098
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    Country              |    US
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    Telephone            |    321-841-4344
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    Fax                  |    321-842-9360
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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        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    ME157234
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    26142
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    License Number State |    MS
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