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General NPI Number Information
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NPI Number | 1902200538
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Entity Type | Individual
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Provider Name | MARISOL ALVAREZ LEON MD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2014
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE STE 600
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3314
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Country | US
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Telephone | 305-284-7577
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Fax | 305-284-7688
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Provider Business Mailing Address
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Address Line | 5996 SW 70 STREET 5TH FLOOR
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4816
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Country | US
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Telephone | 305-284-7577
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Fax | 305-284-7688
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 31,577
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME148668
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License Number State | FL
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