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General NPI Number Information
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NPI Number | 1376953562
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Entity Type | Organization
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Legal Business Name | ALEX BARROCAS MD PA
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 9420 PARK DR
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2744
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Country | US
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Telephone | 786-408-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 9420 PARK DR
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2744
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Country | US
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Telephone | 786-406-3121
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEX BARROCAS
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Credential | MD
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Telephone | 786-408-3121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 103335
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License Number State | FL
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