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General NPI Number Information
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NPI Number | 1184303224
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Entity Type | Individual
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Provider Name | OMAR ECHAGUE ALAMO
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Gender | Male
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 3750 NW 87TH AVE UNIT B
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City | DORAL
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State | FL
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Zip | 33178-4670
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Country | US
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Telephone | 178-633-1820
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Fax |
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Provider Business Mailing Address
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Address Line | 8728 NW 116TH TER
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-1971
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Country | US
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Telephone | 786-831-1667
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS65836
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License Number State | FL
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