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General NPI Number Information
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NPI Number | 1205254984
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Entity Type | Individual
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Provider Name | JEAN-MAX ALCE PA
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Gender | Male
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 5355 LYONS RD
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City | COCONUT CREEK
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State | FL
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Zip | 33073-2825
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Country | US
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Telephone | 954-570-9595
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Fax | 954-354-8151
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Provider Business Mailing Address
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Address Line | 4855 W HILLSBORO BLVD SUITE B2
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4356
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Country | US
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Telephone | 954-418-1683
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Fax | 954-418-1698
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9107684
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License Number State | FL
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