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General NPI Number Information
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NPI Number | 1326298084
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Entity Type | Organization
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Legal Business Name | ALL WOMENS HEALTH CENTER OF ORLANDO, INC.
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 431 MAITLAND AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5418
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Country | US
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Telephone | 407-834-2262
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Fax | 407-767-5528
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Provider Business Mailing Address
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Address Line | 431 MAITLAND AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5418
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Country | US
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Telephone | 407-834-2262
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Fax | 407-767-5528
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Authorized Official
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Title or Position | BILLING AND CONTRACT MANAGER
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Name | MS. MARISELLA MARENGO
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Credential |
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Telephone | 727-442-0445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 851
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License Number State | FL
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