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General NPI Number Information
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NPI Number | 1235877713
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Entity Type | Organization
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Legal Business Name | NOLO HEALTH ORGANIZATION INC
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 33041 PROFESSIONAL DR STE 102
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City | LEESBURG
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State | FL
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Zip | 34788-3761
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Country | US
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Telephone | 407-710-1239
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Fax | 866-367-2650
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Provider Business Mailing Address
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Address Line | 33041 PROFESSIONAL DR STE 102
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City | LEESBURG
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State | FL
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Zip | 34788-3761
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Country | US
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Telephone | 954-641-8662
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Fax | 954-507-3768
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Authorized Official
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Title or Position | CEO
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Name | ALEJANDRO J CASTRO
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Credential |
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Telephone | 954-446-3204
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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