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General NPI Number Information
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NPI Number | 1174746119
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Entity Type | Individual
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Provider Name | DR. LUZ E ALVIRA-VIERA
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CHARDON AVE. APS HEALTHCARE OF PUERTO RICO ANNEX BLG. 2ND FLOOR
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City | SAN JUAN
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State | PR
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Zip | 00936-8574
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Country | US
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Telephone | 787-641-0774
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Fax | 787-641-2774
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Provider Business Mailing Address
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Address Line | 12 AVE ARBOLOTE APT 185
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City | GUAYNABO
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State | PR
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Zip | 00969-5509
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Country | US
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Telephone | 787-287-2958
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Fax | 787-641-2774
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2228
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License Number State | PR
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