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General NPI Number Information
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NPI Number | 1114634821
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Entity Type | Individual
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Provider Name | ALEJANDRO COMAS NP
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Gender | Male
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 3890 SW 64TH AVE APT 408
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City | DAVIE
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State | FL
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Zip | 33314-2588
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Country | US
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Telephone | 305-450-9868
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Fax |
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Provider Business Mailing Address
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Address Line | 3890 SW 64TH AVE APT 408
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City | DAVIE
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State | FL
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Zip | 33314-2588
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Country | US
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Telephone | 305-450-9868
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP9380926
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP11022870
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License Number State | FL
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