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General NPI Number Information
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NPI Number | 1922377167
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Entity Type | Organization
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Legal Business Name | BIANCA D. ALFONSO, M.D., P.A.
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 555 BILTMORE WAY STE 205
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City | CORAL GABLES
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State | FL
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Zip | 33134-5757
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Country | US
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Telephone | 305-445-3611
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Fax |
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Provider Business Mailing Address
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Address Line | 555 BILTMORE WAY STE 205
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City | CORAL GABLES
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State | FL
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Zip | 33134-5757
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Country | US
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Telephone | 305-445-3611
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BIANCA D ALFONSO
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Credential | MD
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Telephone | 305-632-8107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME109946
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License Number State | FL
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