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General NPI Number Information
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NPI Number | 1770918781
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Entity Type | Individual
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Provider Name | ANDRE MELO NUNES FIALHO M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 5151 WINTER GARDEN VINELAND RD STE 201
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City | WINDERMERE
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State | FL
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Zip | 34786-6098
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Country | US
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Telephone | 321-841-4344
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Fax | 321-842-9360
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Provider Business Mailing Address
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Address Line | 5151 WINTER GARDEN VINELAND RD STE 201
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City | WINDERMERE
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State | FL
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Zip | 34786-6098
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Country | US
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Telephone | 321-841-4344
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Fax | 321-842-9360
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 26036
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME157176
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 26036
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License Number State | MS
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