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General NPI Number Information
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NPI Number | 1184156705
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Entity Type | Individual
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Provider Name | LEONOR ALVAREZ
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Gender | Female
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Dates
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Enumeration Date | 04/02/2017
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Last Update Date | 04/02/2017
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Provider Practice Location Address
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Address Line | 5180 W ATLANTIC AVE SUITE 114
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8103
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Country | US
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Telephone | 561-674-9996
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Fax |
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Provider Business Mailing Address
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Address Line | 2430 DEER CREEK COUNTRY CLUB BLVD T2-601
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1102
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Country | US
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Telephone | 954-598-5842
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | FL
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