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General NPI Number Information
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NPI Number | 1386872042
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Entity Type | Organization
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Legal Business Name | JOSE ANDRADE MD PA
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 10/02/2020
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Provider Practice Location Address
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Address Line | 5412 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32812-8522
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Country | US
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Telephone | 407-658-7882
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Fax | 407-658-7995
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Provider Business Mailing Address
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Address Line | 5412 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32812-8522
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Country | US
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Telephone | 407-658-7882
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Fax | 407-658-7995
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE ANDRADE
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Credential | MD
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Telephone | 407-658-7882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | ME0049328
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License Number State | FL
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