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General NPI Number Information
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NPI Number | 1881530780
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Entity Type | Individual
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Provider Name | ROSALBA PEREZ MAS
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Gender | Female
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 2900 LOOPDALE LN
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City | KISSIMMEE
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State | FL
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Zip | 34741-7658
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Country | US
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Telephone | 407-900-0232
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Fax | 407-675-3558
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Provider Business Mailing Address
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Address Line | 14320 WESTSHIRE DR
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City | ORLANDO
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State | FL
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Zip | 32837-4718
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Country | US
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Telephone | 407-900-0232
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Fax | 407-675-3558
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 1274
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | TPPA1199
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License Number State | FL
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