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General NPI Number Information
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NPI Number | 1467909523
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Entity Type | Individual
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Provider Name | MR. JOVENEL ALCIME
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Gender | Male
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 4312 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-4829
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Country | US
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Telephone | 954-588-9245
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 WEST OAKLAND PARK BLVD. SUITE H
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City | FORT LAUDERDALE
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State | FL
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Zip | 33311-6588
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Country | US
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Telephone | 954-366-9865
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Fax | 844-478-9719
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9285051
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License Number State | FL
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