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General NPI Number Information
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NPI Number | 1467891531
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Entity Type | Organization
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Legal Business Name | ONE WORLD PEDIATRICS
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1400 W STATE ROAD 434 STE 1010
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City | LONGWOOD
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State | FL
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Zip | 32750
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Country | US
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Telephone | 407-644-9970
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Fax | 407-644-6926
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Provider Business Mailing Address
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Address Line | 1400 W STATE ROAD 434 STE 1010
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City | LONGWOOD
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State | FL
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Zip | 32750-3817
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Country | US
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Telephone | 407-644-9970
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Fax | 407-644-6926
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Authorized Official
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Title or Position | CEO
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Name | JAGDISH C AMBWANI
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Credential | MD
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Telephone | 407-644-9970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine 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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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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 | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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