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General NPI Number Information
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NPI Number | 1528366622
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Entity Type | Organization
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Legal Business Name | ERIK X ALONSO PSY D LCSW PA
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | 350 SEVILLA AVE SUITE 102
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City | CORAL GABLES
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State | FL
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Zip | 33134-6617
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Country | US
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Telephone | 305-774-1007
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Fax | 305-774-1009
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Provider Business Mailing Address
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Address Line | 22056 SW 131ST PL
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City | MIAMI
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State | FL
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Zip | 33170-2659
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Country | US
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Telephone | 305-774-1007
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Fax | 305-774-1009
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Authorized Official
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Title or Position | PSYD, LCSW
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Name | ERIK X ALONSO
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Credential |
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Telephone | 305-321-5279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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