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General NPI Number Information
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NPI Number | 1275737587
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Entity Type | Individual
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Provider Name | ALEJANDRA R TAZZA-GOMEZ
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2727 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-4456
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Country | US
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Telephone | 305-622-7575
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Fax | 305-622-9464
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Provider Business Mailing Address
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Address Line | 1357 NW 80 TERRECE
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City | PLANTATION
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State | FL
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Zip | 33322
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Country | US
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Telephone |
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RT8463
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License Number State | FL
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