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General NPI Number Information
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NPI Number | 1942519079
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Entity Type | Individual
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Provider Name | ALEJANDRA COLLAZO NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 680 W PARK DR APT 105
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City | MIAMI
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State | FL
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Zip | 33172-5354
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Country | US
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Telephone | 305-594-4421
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Fax | 305-594-4644
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Provider Business Mailing Address
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Address Line | 680 WEST PARK DRIVE APT 105
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City | MIAMI
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State | FL
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Zip | 33172
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Country | US
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Telephone | 305-594-4421
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Fax | 305-594-4644
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | PENDING
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License Number State | FL
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