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General NPI Number Information
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NPI Number | 1902077548
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Entity Type | Organization
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Legal Business Name | ALEX C ROA-OLMO D C P A
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 8949 W COLONIAL DR
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City | OCOEE
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State | FL
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Zip | 34761-6918
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Country | US
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Telephone | 407-299-2350
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Fax | 407-299-4885
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Provider Business Mailing Address
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Address Line | 8949 W COLONIAL DR
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City | OCOEE
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State | FL
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Zip | 34761-6918
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Country | US
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Telephone | 407-299-2350
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Fax | 407-299-4885
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN/OWNER
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Name | ALEX C. ROA-OLMO
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Credential | D.C.
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Telephone | 407-299-2350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH9031
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License Number State | FL
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