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General NPI Number Information
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NPI Number | 1083282313
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Entity Type | Individual
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Provider Name | DESIREE CHARLENE ALVAREZ
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Gender | Female
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1360 S ANAHEIM BLVD STE 101
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City | ANAHEIM
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State | CA
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Zip | 92805-6258
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Country | US
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Telephone | 714-948-7641
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Fax | 714-689-1381
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Provider Business Mailing Address
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Address Line | 1360 S ANAHEIM BLVD STE 101
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City | ANAHEIM
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State | CA
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Zip | 92805-6258
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Country | US
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Telephone | 714-948-7641
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Fax | 714-689-1381
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 126105
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License Number State | CA
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