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General NPI Number Information
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NPI Number | 1689763815
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Entity Type | Organization
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Legal Business Name | ORLANDO ALTAMONTE OB GYN ASSOC PA
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 693 DOULGAS AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714
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Country | US
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Telephone | 407-862-8643
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Fax | 407-862-4042
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Provider Business Mailing Address
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Address Line | 693 DOULGAS AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714
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Country | US
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Telephone | 407-862-8643
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Fax | 407-862-4042
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. NIKKI POSNER
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Credential |
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Telephone | 407-862-8643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME36556
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License Number State | FL
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