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General NPI Number Information
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NPI Number | 1881764058
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Entity Type | Organization
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Legal Business Name | PETER R ALDANA MD PA
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 1801 S 23RD STREET SUITE 7
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City | FORT PIERCE
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State | FL
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Zip | 34950-4830
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Country | US
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Telephone | 772-465-5600
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Fax | 772-465-5600
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Provider Business Mailing Address
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Address Line | 1801 S 23RD STREET SUITE 7
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City | FORT PIERCE
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State | FL
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Zip | 34950-4830
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Country | US
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Telephone | 772-465-5600
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Fax | 772-465-5600
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER ROQUE ALDANA
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Credential | MD
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Telephone | 772-465-5600
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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 | ME69465
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License Number State | FL
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