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General NPI Number Information
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NPI Number | 1457366502
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Entity Type | Individual
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Provider Name | ALEJANDRO RESTREPO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 4700 BAYOU BLVD STE 6
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City | PENSACOLA
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State | FL
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Zip | 32503-1901
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Country | US
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Telephone | 850-477-9253
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Fax | 850-494-9843
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Provider Business Mailing Address
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Address Line | 4700 BAYOU BLVD STE 6
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City | PENSACOLA
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State | FL
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Zip | 32503-1901
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Country | US
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Telephone | 850-477-9253
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Fax | 850-494-9843
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | P4803
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | P4803
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME157716
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License Number State | FL
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