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General NPI Number Information
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NPI Number | 1285177758
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE AND AESTHETICS OF NAPLES LLC
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 1726 MEDICAL BLVD SUITE 201
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City | NAPLES
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State | FL
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Zip | 34110-1426
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Country | US
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Telephone | 239-596-8804
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Fax | 239-596-8793
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Provider Business Mailing Address
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Address Line | 8805 TAMIAMI TRL N UNIT 105
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City | NAPLES
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State | FL
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Zip | 34108-2525
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Country | US
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Telephone | 239-699-9499
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Fax | 239-574-1132
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | ALEJANDRO BLANCO-FRANCO
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Credential | MD
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Telephone | 239-596-8804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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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 | 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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