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General NPI Number Information
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NPI Number | 1891815064
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Entity Type | Individual
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Provider Name | JOSE ENRIQUE ALFONSO CRT
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7392 NW 35TH TER 308
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City | MIAMI
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State | FL
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Zip | 33122-1271
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Country | US
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Telephone | 305-406-3540
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Fax | 305-406-3538
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Provider Business Mailing Address
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Address Line | 15214 SW 19TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4300
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Country | US
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Telephone | 305-406-3540
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Fax | 305-406-3538
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | TT4619
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License Number State | FL
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