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General NPI Number Information
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NPI Number | 1578503538
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Entity Type | Individual
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Provider Name | DR. ALAN NIEDER
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4306 ALTON RD 3RD FLOOR
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2840
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Country | US
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Telephone | 305-674-2499
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Fax | 305-674-2899
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Provider Business Mailing Address
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Address Line | 4300 ALTON RD ASCHER BUILDING ,2ND FLOOR
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-674-3977
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Fax | 305-535-7919
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME87075
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License Number State | FL
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