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General NPI Number Information
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NPI Number | 1063578805
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Entity Type | Organization
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Legal Business Name | LEONOR ALVAREZ
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 254 OAK HILL DR
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City | BEEVILLE
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State | TX
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Zip | 78102-8416
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Country | US
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Telephone | 631-542-7371
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Fax | 361-358-0175
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Provider Business Mailing Address
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Address Line | 254 OAK HILL DR
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City | BEEVILLE
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State | TX
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Zip | 78102-8416
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Country | US
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Telephone | 631-542-7371
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Fax | 361-358-0175
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Authorized Official
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Title or Position | DIRECTOR
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Name | LEONOR ALVAREZ
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Credential |
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Telephone | 361-542-7371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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