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General NPI Number Information
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NPI Number | 1578010351
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Entity Type | Organization
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Legal Business Name | ARTHRITIS & OSTEOPOROSIS CLINICS OF FLORIDA, INC.
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 730 SE 5TH TER
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4852
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Country | US
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Telephone | 352-795-7795
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Fax | 352-795-5235
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Provider Business Mailing Address
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Address Line | 730 SE 5TH TER
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4852
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Country | US
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Telephone | 352-795-7795
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Fax | 352-795-5235
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICTORIA LEDESMA TORRALBA
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Credential | M.D.
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Telephone | 352-795-7795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | ME0068437
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License Number State | FL
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