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General NPI Number Information
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NPI Number | 1821917113
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Entity Type | Organization
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Legal Business Name | FESCOBAR TELENEUROLOGY LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 9911 HIGHLAND SKY ALY
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City | ORLANDO
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State | FL
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Zip | 32832-6286
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Country | US
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Telephone | 407-848-8883
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Fax |
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Provider Business Mailing Address
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Address Line | 1032 E BRANDON BLVD # 6015
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City | BRANDON
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State | FL
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Zip | 33511-5509
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Country | US
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Telephone | 407-848-8883
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FREDDY ESCOBAR
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Credential | MD
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Telephone | 407-848-8883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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