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General NPI Number Information
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NPI Number | 1275455040
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Entity Type | Individual
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Provider Name | ALEX EDGARDO MORALES COLLAZO RN
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Gender | Male
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 235 WELLESLEY ST STE 1
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City | WESTON
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State | MA
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Zip | 02493-1571
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Country | US
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Telephone | 781-768-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2476 VALHALLA DR
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City | TAVARES
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State | FL
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Zip | 32778-8560
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Country | US
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Telephone | 787-209-6764
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | RN9476525
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License Number State | FL
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