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General NPI Number Information
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NPI Number | 1992344782
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Entity Type | Individual
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Provider Name | NADEZHDA FILIPOVA, AP, DOM
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Gender | Female
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Dates
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Enumeration Date | 12/27/2019
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 1287 N SEMORAN BLVD STE 100
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City | ORLANDO
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State | FL
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Zip | 32807-3530
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Country | US
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Telephone | 77-512-1924
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Fax | 407-542-2243
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Provider Business Mailing Address
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Address Line | 11301 S ORANGE BLOSSOM TRL STE A208
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City | ORLANDO
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State | FL
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Zip | 32837-9292
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Country | US
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Telephone | 407-751-2192
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Fax | 407-542-2243
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 4112
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License Number State | FL
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