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General NPI Number Information
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NPI Number | 1447972088
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Entity Type | Organization
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Legal Business Name | ALL MEDICINE, INC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 250 2ND ST E STE 3A
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City | BRADENTON
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State | FL
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Zip | 34208-1027
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Country | US
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Telephone | 941-746-7444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | BRADENTON
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State | FL
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Zip | 34206-1289
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Country | US
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Telephone | 941-705-0308
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | VICTOR GEORGE GHOBRIAL
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Credential | MD
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Telephone | 941-705-0308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease 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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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