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General NPI Number Information
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NPI Number | 1255546271
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Entity Type | Organization
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Legal Business Name | E. ROGER ALILIN, M.D., P.A.
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Dates
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Enumeration Date | 05/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7221 ALOMA AVE SUITE 400-B
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City | WINTER PARK
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State | FL
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Zip | 32792-7119
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Country | US
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Telephone | 407-657-2111
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Fax | 407-679-2906
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Provider Business Mailing Address
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Address Line | 7221 ALOMA AVE SUITE 400-B
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City | WINTER PARK
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State | FL
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Zip | 32792-7119
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Country | US
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Telephone | 407-657-2111
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Fax | 407-679-2906
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELEUTERIO ROGER ALILIN SR.
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Credential | MD
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Telephone | 407-657-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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