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General NPI Number Information
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NPI Number | 1366670291
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Entity Type | Individual
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Provider Name | GISELA ALONSO-GARCIA MA
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Gender | Female
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 3900 NW 79TH AVE STE 805
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City | DORAL
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State | FL
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Zip | 33166-6552
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Country | US
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Telephone | 305-595-0180
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Fax | 305-595-0180
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Provider Business Mailing Address
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Address Line | 6705 NW 169TH ST APT C110
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City | HIALEAH
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State | FL
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Zip | 33015-4258
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Country | US
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Telephone | 305-275-6346
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Fax | 305-275-6347
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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