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General NPI Number Information
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NPI Number | 1265254353
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Entity Type | Individual
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Provider Name | ALEJANDRO GUESLER REAL GONZALEZ
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Gender | Male
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 10090 NW 80 CT 1351
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City | MIAMI LAKES
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State | FL
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Zip | 33016
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Country | US
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Telephone | 786-754-6416
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Fax |
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Provider Business Mailing Address
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Address Line | 10090 NW 80TH CT APT 1351
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City | HIALEAH GARDENS
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State | FL
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Zip | 33016-2241
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Country | US
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Telephone | 786-754-6416
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | FL
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