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General NPI Number Information
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NPI Number | 1942564380
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Entity Type | Individual
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Provider Name | ALEJANDRO LLANOS CHEA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 1601 NW 12TH AVE STE 3005A
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-243-3166
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Fax | 305-243-2617
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Provider Business Mailing Address
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Address Line | 1601 NW 12TH AVE STE 3005A
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-243-3166
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Fax | 305-243-2617
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125060888
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 135884
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License Number State | FL
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