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General NPI Number Information
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NPI Number | 1982961157
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Entity Type | Organization
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Legal Business Name | ROBERTO S. IURCOVICH, MD PA
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 1811 LUCERNE TER
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City | ORLANDO
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State | FL
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Zip | 32806-2918
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Country | US
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Telephone | 407-423-0681
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Fax | 407-422-4860
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Provider Business Mailing Address
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Address Line | 1811 LUCERNE TER
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City | ORLANDO
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State | FL
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Zip | 32806-2918
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Country | US
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Telephone | 407-423-0681
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Fax | 407-422-4860
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Authorized Official
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Title or Position | MD, PA
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Name | ROBERTO SAUL IURCOVICH
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Credential | MD, PA
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Telephone | 407-423-0681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME0033274
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License Number State | FL
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