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General NPI Number Information
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NPI Number | 1376743617
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Entity Type | Organization
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Legal Business Name | ALESSI FAMILY CARE PA
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 9400 BONITA BEACH RD SE STE 102
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4520
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Country | US
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Telephone | 239-992-5444
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Fax | 239-992-1315
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Provider Business Mailing Address
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Address Line | 9400 BONITA BEACH RD SE STE 102
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4520
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Country | US
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Telephone | 239-992-5444
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Fax | 239-992-1315
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Authorized Official
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Title or Position | PROVIDER
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Name | ALBERT G ALESSI
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Credential | D.O.
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Telephone | 239-992-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State | FL
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