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General NPI Number Information
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NPI Number | 1457400442
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Entity Type | Individual
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Provider Name | ROSARIO CORTEZ ALCERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 1306 WHALING AVE SE
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City | PALM BAY
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State | FL
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Zip | 32909-6559
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Country | US
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Telephone | 609-280-6501
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Fax | 321-220-0570
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Provider Business Mailing Address
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Address Line | 1306 WHALING AVE SE
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City | PALM BAY
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State | FL
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Zip | 32909-6559
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Country | US
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Telephone | 609-280-6501
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Fax | 321-220-0570
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0063024
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License Number State | FL
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