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General NPI Number Information
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NPI Number | 1346741808
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Entity Type | Individual
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Provider Name | ALBERTO GARRIDO GONZALEZ SA-C
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Gender | Male
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 02/21/2018
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Provider Practice Location Address
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Address Line | 1995 E OAKLAND PARK BLVD STE 250
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1149
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Country | US
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Telephone | 954-791-6146
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Fax | 954-337-2733
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Provider Business Mailing Address
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Address Line | 1478 WINDSHIP CIR
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City | WELLINGTON
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State | FL
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Zip | 33414-8049
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Country | US
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Telephone | 561-572-7048
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9468193
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License Number State | FL
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