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General NPI Number Information
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NPI Number | 1083959712
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Entity Type | Organization
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Legal Business Name | ANDRES ALVAREZ
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/20/2012
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Provider Practice Location Address
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Address Line | 2017 E. GRIFFN PKWY
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City | MISSION
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State | TX
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Zip | 78572
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Country | US
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Telephone | 956-584-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 E GRIFFIN PKWY
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City | MISSION
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State | TX
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Zip | 78572-3222
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Country | US
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Telephone | 956-584-8484
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANDRES ALVAREZ
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Credential |
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Telephone | 956-584-8484
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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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