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General NPI Number Information
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NPI Number | 1588289185
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Entity Type | Organization
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Legal Business Name | ALLSTATE HEALTH SERVICES INC
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 07/22/2023
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Provider Practice Location Address
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Address Line | 5282 GOLDEN GATE PKWY STE C
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City | NAPLES
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State | FL
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Zip | 34116-7649
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Country | US
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Telephone | 239-880-2680
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Fax | 239-880-2655
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Provider Business Mailing Address
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Address Line | 5282 GOLDEN GATE PKWY STE C
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City | NAPLES
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State | FL
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Zip | 34116-7649
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Country | US
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Telephone | 239-880-2680
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Fax | 239-880-2655
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Authorized Official
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Title or Position | PRESIDENT
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Name | RACIEL GOMEZ RODRIGUEZ
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Credential | APRN
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Telephone | 239-880-2680
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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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