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General NPI Number Information
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NPI Number | 1801013883
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Entity Type | Organization
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Legal Business Name | ROXANA CABRERA DE ALONSO DMD PA
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8726 NW 26TH ST STE 10
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City | DORAL
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State | FL
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Zip | 33172-1628
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Country | US
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Telephone | 305-591-8044
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Fax | 305-591-7533
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Provider Business Mailing Address
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Address Line | 8726 NW 26TH ST STE 10
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City | DORAL
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State | FL
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Zip | 33172-1628
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Country | US
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Telephone | 305-591-8044
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Fax | 305-591-7533
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROXANA CABRERA DE ALONSO
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Credential | DMD
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Telephone | 305-591-8044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN13042
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License Number State | FL
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