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NPI 1356503007

NPI 1356503007 : OSVALDO CONTARINI MD PA : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1356503007
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    Entity Type          |    Organization 
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    Legal Business Name  |    OSVALDO CONTARINI MD PA 
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Dates
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    Enumeration Date     |    06/25/2008
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    Last Update Date     |    06/25/2008
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Provider Practice Location Address
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    Address Line         |    3636 UNIVERSITY BLVD S BLDG B
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32216-4250
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    Country              |    US
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    Telephone            |    904-737-3150
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    Fax                  |    904-399-1314
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Provider Business Mailing Address
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    Address Line         |    3636 UNIVERSITY BLVD S BLDG B
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32216-4250
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    Country              |    US
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    Telephone            |    904-737-3150
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    Fax                  |    904-399-1314
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     OSVALDO  CONTARINI 
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    Credential           |    MD
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    Telephone            |    904-737-3150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    ME27940
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    License Number State |    FL
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