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General NPI Number Information
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NPI Number | 1396551081
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Entity Type | Individual
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Provider Name | ALFREDO PASQUALE RUIZ ORASMA HOUSE PHYSYCIAN, MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2845 AVENTURA BLVD STE 240
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City | AVENTURA
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State | FL
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Zip | 33180-3120
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Country | US
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Telephone | 305-692-1074
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 PALM TRACE LANDINGS DR APT 109
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City | DAVIE
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State | FL
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Zip | 33314-1861
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Country | US
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Telephone | 786-436-6406
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 41416
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License Number State | FL
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