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General NPI Number Information
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NPI Number | 1669912184
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Entity Type | Organization
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Legal Business Name | WE ARE ONE MEDICAL GROUP INC.
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 08/02/2017
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Provider Practice Location Address
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Address Line | 3169 CARTHAGE CT
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City | ORLANDO
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State | FL
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Zip | 32837-9032
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Country | US
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Telephone | 305-495-3830
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Fax |
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Provider Business Mailing Address
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Address Line | 3169 CARTHAGE CT
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City | ORLANDO
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State | FL
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Zip | 32837-9032
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Country | US
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Telephone | 305-495-3830
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ANDRES ALEJANDRO DELGADO
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Credential |
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Telephone | 305-495-3830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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