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General NPI Number Information
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NPI Number | 1639182371
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Entity Type | Individual
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Provider Name | MANUEL ALEJANDRO GONZALEZ MD, MPH, MBA
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 815 NW 57TH AVE SUITE 130
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City | MIAMI
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State | FL
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Zip | 33126-2018
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Country | US
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Telephone | 941-255-8184
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Fax | 941-255-8190
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Provider Business Mailing Address
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Address Line | 815 NW 57TH AVE STE 130
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City | MIAMI
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State | FL
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Zip | 33126-2041
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Country | US
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Telephone | 305-266-2286
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Fax | 305-266-7786
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD037851
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME110782
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License Number State | FL
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