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General NPI Number Information
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NPI Number | 1558159236
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Entity Type | Organization
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Legal Business Name | ALMAMED CLINIC LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 15294 BLUE PEACOCK LN
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City | WINTER GARDEN
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State | FL
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Zip | 34787-7416
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Country | US
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Telephone | 239-254-1402
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25031
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City | TAMARAC
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State | FL
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Zip | 33320-5031
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Country | US
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Telephone | 239-254-1402
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Fax |
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Authorized Official
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Title or Position | MANAGER/ OWNER
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Name | ALBA QUIROZ LOPEZ
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Credential | APRN
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Telephone | 786-375-1120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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