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General NPI Number Information
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NPI Number | 1770598641
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Entity Type | Individual
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Provider Name | SERGIO F ALZUGARAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 12540 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33184-1412
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Country | US
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Telephone | 305-705-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 7750 NW 171ST ST
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City | HIALEAH
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State | FL
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Zip | 33015-3840
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Country | US
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Telephone | 786-768-3324
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME73697
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License Number State | FL
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