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General NPI Number Information
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NPI Number | 1477972040
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Entity Type | Individual
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Provider Name | ALEXANDRA LOPEZ-AGUIAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 1120 NW 14TH ST FL 4
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City | MIAMI
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State | FL
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Zip | 33136-2107
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Country | US
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Telephone | 305-243-4907
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Fax |
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Provider Business Mailing Address
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Address Line | 7890 SW 78TH ST
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City | MIAMI
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State | FL
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Zip | 33143-4018
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Country | US
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Telephone | 305-491-1411
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | ME164112
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License Number State | FL
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