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General NPI Number Information
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NPI Number | 1588845051
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Entity Type | Individual
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Provider Name | ALFONSO H SAA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 4620 N. HABANA AVE. SUITE 202
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City | TAMPA
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State | FL
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Zip | 33614-7107
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Country | US
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Telephone | 813-875-8550
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Fax | 813-875-8402
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Provider Business Mailing Address
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Address Line | 4620 N. HABANA AVE. SUITE 202
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City | TAMPA
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State | FL
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Zip | 33614-7107
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Country | US
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Telephone | 813-875-8550
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Fax | 813-875-8402
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | ME34182
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME34182
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License Number State | FL
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