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General NPI Number Information
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NPI Number | 1134928286
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Entity Type | Individual
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Provider Name | ALEXIS ANTONIO DE BEER
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Gender | Male
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 7171 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33614-2665
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Country | US
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Telephone | 813-932-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 11414 CYPRESS RESERVE DR
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City | TAMPA
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State | FL
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Zip | 33626-1333
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Country | US
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Telephone | 407-676-6753
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 22-345
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License Number State | FL
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