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General NPI Number Information
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NPI Number | 1164476313
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Entity Type | Individual
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Provider Name | GREGORY J ALFRED M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 11750 SW 40TH ST KENDALL REGIONAL MEDICAL CENTER EMERGENCY DEPT
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City | MIAMI
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State | FL
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Zip | 33175-3530
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Country | US
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Telephone | 305-227-5544
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Fax |
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Provider Business Mailing Address
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Address Line | 420 NE 88TH ST
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City | EL PORTAL
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State | FL
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Zip | 33138-3143
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Country | US
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Telephone | 305-812-5206
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A79311
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME99486
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | ME99486
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License Number State | FL
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