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General NPI Number Information
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NPI Number | 1760705446
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Entity Type | Organization
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Legal Business Name | BELLE B. ALMOJERA, M.D., L.L.C.
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 5601 TIMUQUANA RD
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City | JACKSONVILLE
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State | FL
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Zip | 32210-8054
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Country | US
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Telephone | 904-771-5910
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Fax | 904-771-1401
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Provider Business Mailing Address
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Address Line | 5601 TIMUQUANA RD
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City | JACKSONVILLE
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State | FL
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Zip | 32210-8054
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Country | US
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Telephone | 904-771-5910
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Fax | 904-771-1401
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. BELLE BUCCAT ALMOJERA
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Credential | M.D.
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Telephone | 904-771-5910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME29414
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License Number State | FL
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