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General NPI Number Information
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NPI Number | 1083372098
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Entity Type | Individual
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Provider Name | HIRAN ALEJANDRO ALFONSO APRN-C
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Gender | Male
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 210 JUPITER LAKES BLVD STE 104
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City | JUPITER
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State | FL
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Zip | 33458-7187
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Country | US
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Telephone | 561-406-6561
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HIGHWAY HHC - CVO
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4337
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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 |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11016929
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 14111
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1168872
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP003015
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3-002144
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 406934
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11016929
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License Number State | FL
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