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General NPI Number Information
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NPI Number | 1841680733
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Entity Type | Organization
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Legal Business Name | E. JOHN SERRAO, M.D.
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 2905 MCRAE AVE SUITE 1
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City | ORLANDO
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State | FL
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Zip | 32803-1207
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Country | US
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Telephone | 407-897-2230
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Fax | 407-897-1111
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Provider Business Mailing Address
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Address Line | 2905 MCRAE AVE SUITE 1
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City | ORLANDO
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State | FL
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Zip | 32803-1207
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Country | US
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Telephone | 407-897-2230
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Fax | 407-897-1111
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Authorized Official
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Title or Position | OB/GYN
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Name | DR. EGBERT JOHN SERRAO
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Credential | M.D.
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Telephone | 407-897-2230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0050482
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License Number State | FL
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