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General NPI Number Information
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NPI Number | 1134129760
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Entity Type | Individual
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Provider Name | SONIA M ALVAREZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4300 HOUMA BLVD SUITE 108
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City | METAIRIE
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State | LA
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Zip | 70006-2932
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Country | US
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Telephone | 504-455-2771
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Fax | 504-885-0441
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Provider Business Mailing Address
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Address Line | 5902 ANNUNCIATION ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-2158
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Country | US
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Telephone | 504-899-9633
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Fax | 504-885-0441
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13869R
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License Number State | LA
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