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General NPI Number Information
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NPI Number | 1396211074
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Entity Type | Individual
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Provider Name | ALINA CRUZ
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Gender | Female
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 8603 S DIXIE HWY STE 411
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City | PINECREST
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State | FL
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Zip | 33156-1196
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Country | US
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Telephone | 305-771-0874
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Fax |
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Provider Business Mailing Address
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Address Line | 2772 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125-4302
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Country | US
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Telephone | 305-643-4900
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN23681
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License Number State | FL
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