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General NPI Number Information
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NPI Number | 1649421058
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Entity Type | Individual
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Provider Name | ALEIDA HERA JIMENEZ MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 700 SW 8TH ST 825 SW 87TH AVENUE
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City | MIAMI
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State | FL
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Zip | 33130-3311
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Country | US
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Telephone | 305-264-3894
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Fax |
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Provider Business Mailing Address
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Address Line | 7777 SW 74TH ST APT 2301
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City | MIAMI
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State | FL
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Zip | 33143-4001
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Country | US
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Telephone | 561-271-8441
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17334
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN328
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License Number State | FL
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