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General NPI Number Information
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NPI Number | 1023674462
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Entity Type | Individual
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Provider Name | LEYVI ALVARADO MIRANDA MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 8530 SW 8TH STREET
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City | MIAMI
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State | FL
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Zip | 33144
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Country | US
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Telephone | 305-455-6804
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Fax |
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Provider Business Mailing Address
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Address Line | 8463 NW 107TH PATH UNIT 1
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City | DORAL
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State | FL
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Zip | 33178-5234
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Country | US
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Telephone | 305-873-9847
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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 | ME157769
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License Number State | FL
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