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General NPI Number Information
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NPI Number | 1144071978
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Entity Type | Organization
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Legal Business Name | JUAN A. ALBA, MDPC
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 29 WADSWORTH AVE APT 1B
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City | NEW YORK
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State | NY
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Zip | 10033-7011
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Country | US
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Telephone | 551-404-7885
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Fax |
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Provider Business Mailing Address
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Address Line | 29 WADSWORTH AVE APT 1B
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City | NEW YORK
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State | NY
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Zip | 10033-7011
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Country | US
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Telephone | 551-404-7885
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. JUAN A ALBA
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Credential |
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Telephone | 551-404-7884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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