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General NPI Number Information
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NPI Number | 1619959335
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Entity Type | Individual
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Provider Name | ALEXANDER C BONNER DPM
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Gender | Male
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 1150 CAMPO SANO AVE SUITE 410
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City | CORAL GABLES
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State | FL
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Zip | 33146-1174
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Country | US
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Telephone | 305-669-3339
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Fax | 305-233-5220
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Provider Business Mailing Address
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Address Line | 1150 CAMPO SANO AVE SUITE 410
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City | CORAL GABLES
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State | FL
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Zip | 33146-1174
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Country | US
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Telephone | 305-669-3339
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Fax | 305-233-5220
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO626
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License Number State | FL
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