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General NPI Number Information
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NPI Number | 1649469776
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Entity Type | Individual
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Provider Name | CARLOS ALBERTO FELICIANO MD
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Gender | Male
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 201 HILDA ST STE 33
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City | KISSIMMEE
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State | FL
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Zip | 34741-2359
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Country | US
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Telephone | 407-350-3776
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 593647
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City | ORLANDO
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State | FL
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Zip | 32859-3647
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME113979
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License Number State | FL
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