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General NPI Number Information
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NPI Number | 1861579146
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Entity Type | Organization
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Legal Business Name | ORLANDO PLASTIC SURGERY CENTER
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3872 OAKWATER CIR
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City | ORLANDO
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State | FL
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Zip | 32806-6263
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Country | US
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Telephone | 407-857-6261
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Fax | 407-857-6241
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Provider Business Mailing Address
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Address Line | 3872 OAKWATER CIR
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City | ORLANDO
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State | FL
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Zip | 32806-6263
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Country | US
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Telephone | 407-857-6261
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Fax | 407-857-6241
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GEORGE HAYNES POPE
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Credential | M.D.
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Telephone | 407-857-6261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME0053077
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License Number State | FL
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