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General NPI Number Information
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NPI Number | 1629254131
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Entity Type | Organization
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Legal Business Name | FRANCIS ALFRED
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 19115 NW MIAMI CT
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City | MIAMI
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State | FL
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Zip | 33169-3328
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Country | US
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Telephone | 305-308-0186
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Fax |
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Provider Business Mailing Address
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Address Line | 19115 NW MIAMI CT
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City | MIAMI
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State | FL
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Zip | 33169-3328
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Country | US
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Telephone | 305-308-0186
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MR. FRANCIS ALFRED
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Credential |
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Telephone | 305-308-0186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 23626
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License Number State | FL
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