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General NPI Number Information
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NPI Number | 1477090918
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Entity Type | Organization
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Legal Business Name | FERNANDO A. GALEANO D.D.S., P.A.
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 150 PINE AVE N
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City | OLDSMAR
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State | FL
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Zip | 34677-4681
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Country | US
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Telephone | 813-855-8505
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Fax | 813-855-7307
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Provider Business Mailing Address
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Address Line | 150 PINE AVE N
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City | OLDSMAR
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State | FL
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Zip | 34677-4681
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Country | US
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Telephone | 813-855-8505
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Fax | 813-855-7307
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FERNANDO ALFREDO GALEANO
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Credential | D.D.S.
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Telephone | 813-855-8505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN13066
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License Number State | FL
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