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General NPI Number Information
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NPI Number | 1457289993
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Entity Type | Organization
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Legal Business Name | CLINICA UNIVERSITARIA UNION MEDICA DEL NORTE
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | AVE. JUAN PABLO DUARTE #176
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City | SANTIAGO DE LOS CABALLEROS
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State | SANTIAGO
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Zip | 51000
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Country | DO
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 220 E MONUMENT AVE STE B
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City | KISSIMMEE
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State | FL
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Zip | 34741-5752
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Country | US
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Telephone | 407-931-1717
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Fax | 407-738-4733
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | DR. ALBERTO A MENA
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Credential | MD
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Telephone | 407-931-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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