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NPI 1124986096

NPI 1124986096 : ALEXANDRA BOTERO DDS, PA : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1124986096
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALEXANDRA BOTERO DDS, PA 
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Dates
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    Enumeration Date     |    01/12/2026
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    Last Update Date     |    01/12/2026
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Provider Practice Location Address
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    Address Line         |    13101 SW 89TH PL STE 104 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33176-5876
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    Country              |    US
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    Telephone            |    305-283-7772
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13101 SW 89TH PL STE 104 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33176-5876
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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    |    DENTIST
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    Name                 |    DR. ALEXANDRA  BOTERO 
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    Credential           |    DDS
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    Telephone            |    305-283-7772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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