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General NPI Number Information
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NPI Number | 1306223011
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Entity Type | Individual
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Provider Name | ALEJANDRO GUTIERREZ LOZADA ARNP
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Gender | Male
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 12/25/2020
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Provider Practice Location Address
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Address Line | 1400 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1003
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Country | US
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Telephone | 305-689-5407
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1003
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Country | US
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Telephone | 305-689-5407
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9326777
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9326777
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License Number State | FL
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