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General NPI Number Information
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NPI Number | 1013321280
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Entity Type | Individual
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Provider Name | COREY ALVAREZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 1775 W HIBISCUS BLVD STE 215
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City | MELBOURNE
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State | FL
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Zip | 32901-2627
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Country | US
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Telephone | 321-837-3820
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Fax |
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Provider Business Mailing Address
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Address Line | 1775 W HIBISCUS BLVD STE 215
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City | MELBOURNE
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State | FL
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Zip | 32901-2627
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Country | US
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Telephone |
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME131625
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301106023
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME131625
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME131625
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5315066708
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License Number State | MI
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