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General NPI Number Information
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NPI Number | 1669546784
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Entity Type | Individual
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Provider Name | DR. RAFAEL BERNARD ALFONSO
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 2482 SW 27TH TERRACE
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City | MIAMI
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State | FL
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Zip | 33133
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Country | US
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Telephone | 305-859-7949
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Fax | 305-859-9585
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Provider Business Mailing Address
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Address Line | 2482 SW 27TH TERRACE
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City | MIAMI
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State | FL
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Zip | 33133
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Country | US
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Telephone | 305-859-7949
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Fax | 305-859-9585
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN0009529
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License Number State | FL
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