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General NPI Number Information
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NPI Number | 1295915932
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Entity Type | Organization
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Legal Business Name | OSCEOLA INTERNAL MEDICINE INC
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 203 WESTMORELAND CIR
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City | KISSIMMEE
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State | FL
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Zip | 34744
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Country | US
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Telephone | 407-348-8813
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Fax | 407-348-4486
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Provider Business Mailing Address
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Address Line | 203 WESTMORELAND CIR
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City | KISSIMMEE
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State | FL
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Zip | 34744-5463
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Country | US
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Telephone | 407-348-8813
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Fax | 407-348-4486
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ESTEBAN L JANOLO
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Credential | MD
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Telephone | 407-348-8813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist 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 | 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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