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General NPI Number Information
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NPI Number | 1518356526
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Entity Type | Organization
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Legal Business Name | AGOSTINI&ASSOCIATES, PA
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 8201 SW 165TH CT
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City | MIAMI
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State | FL
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Zip | 33193-5768
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Country | US
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Telephone | 786-228-6498
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Fax | 888-435-3753
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Provider Business Mailing Address
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Address Line | PO BOX 653837
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City | MIAMI
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State | FL
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Zip | 33265-3837
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Country | US
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Telephone | 786-228-6498
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Fax | 888-435-3753
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEX ALEXANDER AGOSTINI-MIRANDA
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Credential | MD
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Telephone | 786-228-6498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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