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General NPI Number Information
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NPI Number | 1093332702
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Entity Type | Individual
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Provider Name | ARMANDO ALVAREZ NNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 4520 WILLIAMS BLVD APT W266
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City | KENNER
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State | LA
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Zip | 70065-5536
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Country | US
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Telephone | 956-355-6159
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Fax |
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Provider Business Mailing Address
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Address Line | 180 W ESPLANADE AVE
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City | KENNER
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State | LA
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Zip | 70065-2467
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Country | US
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Telephone | 956-355-6159
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Fax |
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 1061391
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 200458
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License Number State | LA
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