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General NPI Number Information
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NPI Number | 1861458226
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Entity Type | Individual
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Provider Name | MAGALY INES ALONSO M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 719 NW 13TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-3724
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Country | US
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Telephone | 305-547-2011
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Fax | 305-547-2099
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Provider Business Mailing Address
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Address Line | PO BOX 144277
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City | CORAL GABLES
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State | FL
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Zip | 33114-4277
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Country | US
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Telephone | 305-547-2011
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Fax | 305-547-2099
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME62944
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License Number State | FL
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