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General NPI Number Information
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NPI Number | 1649682345
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Entity Type | Individual
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Provider Name | ALFONSINA MARIA GARCIA-BRACERO MD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 1890 SW HEALTH PKWY
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City | NAPLES
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State | FL
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Zip | 34109-0473
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Country | US
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Telephone | 787-659-3079
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110906
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City | NAPLES
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State | FL
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Zip | 34108-0116
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Country | US
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Telephone | 787-659-3079
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 135514
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License Number State | FL
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