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General NPI Number Information
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NPI Number | 1023278538
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Entity Type | Organization
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Legal Business Name | ALVARADO SURGICAL ASSOCIATES INC
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 12865 POINTE DEL MAR WAY STE. 130
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City | DEL MAR
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State | CA
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Zip | 92014
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Country | US
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Telephone | 858-350-4700
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Fax | 858-350-4710
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Provider Business Mailing Address
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Address Line | 12865 POINTE DEL MAR WAY STE. 130
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City | DEL MAR
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State | CA
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Zip | 92014
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Country | US
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Telephone | 858-350-4700
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Fax | 858-350-4710
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Authorized Official
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Title or Position | M.D./OWNER
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Name | ALAN CRAIG WITTGROVE
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Credential | M.D.
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Telephone | 858-350-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G44693
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License Number State | CA
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