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General NPI Number Information
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NPI Number | 1053620898
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Entity Type | Organization
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Legal Business Name | PEDRO G. ALVAREZ, D.O., P.A.
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 7150 W 20TH AVE SUITE 607
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City | HIALEAH
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State | FL
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Zip | 33016-5529
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Country | US
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Telephone | 305-551-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 W 20TH AVE SUITE 607
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City | HIALEAH
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State | FL
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Zip | 33016-5529
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Country | US
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Telephone | 305-551-8600
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ARELYS ALVAREZ
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Credential |
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Telephone | 305-558-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS007248
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License Number State | FL
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