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General NPI Number Information
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NPI Number | 1760361471
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Entity Type | Individual
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Provider Name | ALEJANDRO FABIAN SUAREZ MARTINEZ
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Gender | Male
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 4385 W 16TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-7628
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Country | US
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Telephone | 305-824-0637
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MAIN ST APT 459
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City | MIRAMAR
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State | FL
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Zip | 33025-8219
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11041653
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License Number State | FL
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