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General NPI Number Information
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NPI Number | 1790653491
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Entity Type | Organization
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Legal Business Name | MIAMI NEUROPSYCHOLOGIST, PLLC
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Dates
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Enumeration Date | 10/25/2025
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 4155 SW 98TH CT
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City | MIAMI
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State | FL
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Zip | 33165-5154
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Country | US
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Telephone | 305-761-7144
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Fax |
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Provider Business Mailing Address
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Address Line | 4155 SW 98TH CT
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City | MIAMI
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State | FL
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Zip | 33165-5154
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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 | OWNER AND NEUROPSYCHOLOGIST
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Name | EDUARDO ALSINA
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Credential | PHD
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Telephone | 305-761-7144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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