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General NPI Number Information
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NPI Number | 1801341243
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Entity Type | Individual
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Provider Name | ALEXANDER BERNABE DE VARONA ARNP
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Gender | Male
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 18610 NW 87TH AVE
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City | HIALEAH
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State | FL
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Zip | 33015
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Country | US
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Telephone | 305-829-5000
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Fax | 305-829-5033
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Provider Business Mailing Address
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Address Line | 380 E 35TH ST APT 21
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City | HIALEAH
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State | FL
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Zip | 33013-2687
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Country | US
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Telephone | 305-951-9207
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9332737
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License Number State | FL
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