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General NPI Number Information
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NPI Number | 1396857926
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Entity Type | Organization
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Legal Business Name | A AND A MEDICAL GROUP
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 1149 SW 27TH AVE SUITE 203
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City | MIAMI
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State | FL
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Zip | 33135-4758
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Country | US
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Telephone | 305-646-1000
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Fax | 305-646-1656
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Provider Business Mailing Address
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Address Line | 1149 SW 27TH AVE SUITE 203
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City | MIAMI
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State | FL
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Zip | 33135-4758
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Country | US
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Telephone | 305-646-1000
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Fax | 305-646-1656
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALFREDO GONZALEZ
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Credential |
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Telephone | 305-646-1000
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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 | HCC6859
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License Number State | FL
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