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General NPI Number Information
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NPI Number | 1538348669
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Entity Type | Individual
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Provider Name | ALBERTO GABINO CRUZ RPH.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 1695 NW 9TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1409
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Country | US
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Telephone | 305-355-7203
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Fax |
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Provider Business Mailing Address
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Address Line | 2035 NE 121ST RD
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City | NORTH MIAMI
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State | FL
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Zip | 33181-3306
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Country | US
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Telephone | 305-893-7924
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | PS19994
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License Number State | FL
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