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General NPI Number Information
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NPI Number | 1033878152
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Entity Type | Organization
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Legal Business Name | ALPHA MEDICINE AND REHAB, LLC
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Dates
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Enumeration Date | 12/16/2021
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2915 COLONIAL BLVD STE 220
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City | FORT MYERS
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State | FL
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Zip | 33966
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Country | US
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Telephone | 239-319-3933
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Fax | 239-350-5380
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Provider Business Mailing Address
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Address Line | PO BOX 100845
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City | CAPE CORAL
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State | FL
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Zip | 33910
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Country | US
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Telephone | 239-319-3933
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Fax | 239-350-5380
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Authorized Official
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Title or Position | MEMBER
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Name | ALDRICH MENDOZA
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Credential | M.D.
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Telephone | 239-319-3933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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