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General NPI Number Information
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NPI Number | 1003630252
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Entity Type | Individual
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Provider Name | SAMANTHA S ALFIAN APRN
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Gender | Female
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 1450 NW 87TH AVE STE 206-207
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City | DORAL
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State | FL
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Zip | 33172-3004
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Country | US
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Telephone | 305-988-8528
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Fax |
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Provider Business Mailing Address
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Address Line | 1099 SW 135TH CT
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City | MIAMI
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State | FL
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Zip | 33184-3308
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Country | US
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Telephone | 786-897-5295
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN11036356
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License Number State | FL
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