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General NPI Number Information
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NPI Number | 1528458171
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Entity Type | Individual
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Provider Name | ANDRES MANUEL ALAVA ARNP
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Gender | Male
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 21097 NE 27TH CT SUITE 350
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City | AVENTURA
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State | FL
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Zip | 33180-1204
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Country | US
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Telephone | 305-974-5533
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Fax |
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Provider Business Mailing Address
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Address Line | 9218 SW 39TH ST
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City | MIRAMAR
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State | FL
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Zip | 33025-7353
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Country | US
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Telephone | 562-453-7331
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9311003
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License Number State | FL
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