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General NPI Number Information
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NPI Number | 1861048498
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Entity Type | Organization
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Legal Business Name | ALEXANDRA CONDE GREEN MD PA
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Dates
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Enumeration Date | 08/09/2019
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 6100 GLADES RD STE 302
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City | BOCA RATON
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State | FL
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Zip | 33434-4372
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Country | US
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Telephone | 561-617-0240
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Fax | 561-763-9353
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Provider Business Mailing Address
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Address Line | 6100 GLADES RD STE 302
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City | BOCA RATON
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State | FL
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Zip | 33434-4372
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Country | US
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Telephone | 561-617-0240
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Fax | 561-763-9353
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Authorized Official
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Title or Position | DOCTOR
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Name | ALEXANDRA CONDE GREEN
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Credential | MD
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Telephone | 561-617-0240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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