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General NPI Number Information
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NPI Number | 1265248017
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Entity Type | Organization
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Legal Business Name | ORANGE DOCTORS GROUP LLC
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2003 MCCOY RD
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City | BELLE ISLE
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State | FL
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Zip | 32809-7821
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Country | US
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Telephone | 866-370-4022
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Fax | 888-440-2194
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Provider Business Mailing Address
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Address Line | 2003 MCCOY RD
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City | BELLE ISLE
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State | FL
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Zip | 32809-7821
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Country | US
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Telephone | 866-370-4022
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Fax | 888-440-2194
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Authorized Official
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Title or Position | OWNER
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Name | HUBALDO VASQUEZ
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Credential |
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Telephone | 786-535-9270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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