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General NPI Number Information
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NPI Number | 1770937955
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Entity Type | Individual
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Provider Name | ABRAHAM ALFONSO REMIGIO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 7540 NW 5TH ST STE 5
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City | PLANTATION
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State | FL
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Zip | 33317-1615
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Country | US
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Telephone | 954-408-4655
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Fax | 954-408-4656
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Provider Business Mailing Address
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Address Line | PO BOX 15543
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City | PLANTATION
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State | FL
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Zip | 33318-5543
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Country | US
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Telephone | 954-408-4655
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Fax | 954-408-4656
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME137116
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License Number State | FL
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