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NPI 1801659214

NPI 1801659214 : TRIPLEAMEDICAL : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1801659214
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRIPLEAMEDICAL 
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Dates
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    Enumeration Date     |    01/31/2024
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    Last Update Date     |    01/31/2024
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Provider Practice Location Address
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    Address Line         |    4125 HUNTERS PARK LN STE 117 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32837-7615
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    Country              |    US
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    Telephone            |    904-521-2099
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    125 E PINE ST APT 1912 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32801-3092
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    Country              |    US
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    Telephone            |    904-521-2099
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. UGOCHUKWU CHIDOZIE ADIGWEME 
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    Credential           |    DPM
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    Telephone            |    904-521-2099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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