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General NPI Number Information
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NPI Number | 1245763820
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Entity Type | Individual
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Provider Name | ALEJANDRO GOMEZ-VISO
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Gender | Male
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 1001 E OSCEOLA PKWY STE 230
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City | KISSIMMEE
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State | FL
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Zip | 34744-1616
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Country | US
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Telephone | 321-842-4810
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Fax | 321-842-4809
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Provider Business Mailing Address
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Address Line | 1001 E OSCEOLA PKWY
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City | KISSIMMEE
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State | FL
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Zip | 34744-1616
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Country | US
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Telephone | 321-842-4810
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Fax | 321-842-4809
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | ME168388
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License Number State | FL
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