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General NPI Number Information
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NPI Number | 1871056804
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Entity Type | Organization
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Legal Business Name | JANET HIDALGO, OD, PLLC
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 5011 W HILLSBOROUGH AVE STE F
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City | TAMPA
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State | FL
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Zip | 33634-5309
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Country | US
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Telephone | 813-373-5873
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Fax | 813-609-6475
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Provider Business Mailing Address
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Address Line | 5011 W HILLSBOROUGH AVE STE F
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City | TAMPA
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State | FL
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Zip | 33634-5309
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Country | US
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Telephone | 813-373-5873
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Fax | 813-609-6475
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Authorized Official
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Title or Position | OWNER
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Name | DR. JANET O HIDALGO
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Credential | OD
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Telephone | 813-373-5873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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