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General NPI Number Information
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NPI Number | 1457986317
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Entity Type | Individual
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Provider Name | ALEJANDRO OLIVEROS NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 100 NW 170TH ST STE 102
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5510
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Country | US
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Telephone | 305-685-5688
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Fax |
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Provider Business Mailing Address
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Address Line | 11663 SW 152ND PL
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City | MIAMI
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State | FL
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Zip | 33196-5238
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Country | US
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Telephone |
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 11001940
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License Number State | FL
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