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General NPI Number Information
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NPI Number | 1518757434
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Entity Type | Individual
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Provider Name | JORGE ORDORICA ALONSO MD
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Gender |
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 10300 SW 216TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33190-1003
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Country | US
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Telephone | 305-253-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 260 CRANDON BLVD
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-1536
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Country | US
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Telephone | 786-584-9968
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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