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General NPI Number Information
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NPI Number | 1093702136
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Entity Type | Individual
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Provider Name | ALBERTO BRUNO ALONSO MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1800 N DOUGLAS RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3200
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Country | US
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Telephone | 305-204-0333
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Fax | 305-359-7546
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Provider Business Mailing Address
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Address Line | 860 NW 42ND AVE FL 5
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City | MIAMI
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State | FL
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Zip | 33126-4172
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Country | US
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Telephone | 305-204-0333
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME83960
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License Number State | FL
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