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General NPI Number Information
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NPI Number | 1033533567
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Entity Type | Organization
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Legal Business Name | ALEJANDRA MIRANDA DDS PA
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 5232 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1168
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Country | US
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Telephone | 305-442-0331
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Fax |
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Provider Business Mailing Address
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Address Line | 5232 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1168
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ALEJANDRA MIRANDA
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Credential | DDS PA
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Telephone | 305-442-0331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN13131
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License Number State | FL
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