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General NPI Number Information
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NPI Number | 1063665453
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Entity Type | Organization
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Legal Business Name | NEW ALTERNATIVES M.C, INC
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 20401 NW 2ND AVE STE 106
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-2542
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Country | US
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Telephone | 305-651-3559
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Fax | 305-651-3560
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Provider Business Mailing Address
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Address Line | 20401 NW 2ND AVE STE 106
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-2542
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Country | US
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Telephone | 305-651-3559
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Fax | 305-651-3560
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIEL FURMAM
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Credential | D.O.
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Telephone | 305-651-3559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 058703
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License Number State | FL
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