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General NPI Number Information
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NPI Number | 1154426435
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Entity Type | Individual
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Provider Name | ROBERTO N ALVAREZ MSW/LSW
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 201 LYONS AVENUS, NEWARK BETH ISRAEL MEDICAL CENTER WING H-3
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City | NEWARK
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State | NJ
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Zip | 07112
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Country | US
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Telephone | 973-926-6935
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Fax | 973-926-1277
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Provider Business Mailing Address
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Address Line | 98 CLEVELAND TER
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-2226
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Country | US
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Telephone | 973-680-1879
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Fax | 973-680-1879
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SL00554500
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License Number State | NJ
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