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General NPI Number Information
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NPI Number | 1184067670
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Entity Type | Individual
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Provider Name | ALVARO N GUROVICH P.T., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 567 N 5TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47809-0001
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Country | US
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Telephone | 812-237-8232
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Fax |
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Provider Business Mailing Address
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Address Line | 25 SOUTHGATE CT
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City | TERRE HAUTE
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State | IN
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Zip | 47802-4975
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Country | US
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Telephone | 352-642-4752
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05010983A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2251C2600X
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Taxonomy Name | Cardiopulmonary Physical Therapist
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License Number | 05010983A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 05010983A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 05010983A
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License Number State | IN
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