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General NPI Number Information
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NPI Number | 1891926911
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Entity Type | Individual
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Provider Name | JOSE LEONARDO ESTRELLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1475 W ORANGE BLOSSOM TRL
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City | APOPKA
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State | FL
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Zip | 32712-2828
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Country | US
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Telephone | 407-307-1041
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Fax | 407-307-1039
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Provider Business Mailing Address
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Address Line | 1475 W ORANGE BLOSSOM TRL
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City | APOPKA
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State | FL
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Zip | 32712-2828
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Country | US
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Telephone | 74-307-1041
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Fax | 407-307-1039
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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 | ACN978
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License Number State | FL
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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 | 17661
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License Number State | PR
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