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General NPI Number Information
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NPI Number | 1740721786
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Entity Type | Individual
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Provider Name | TAMARA ALONSO
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Gender | Female
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 1400 NE MIAMI GARDENS DR STE 105
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4843
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Country | US
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Telephone | 786-610-3730
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Fax |
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Provider Business Mailing Address
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Address Line | 12513 NW 7 LANE
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City | MIAMI
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State | FL
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Zip | 33182
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Country | US
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Telephone | 786-985-5205
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9306636
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License Number State | FL
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