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General NPI Number Information
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NPI Number | 1184281719
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Entity Type | Individual
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Provider Name | TIMOTHY PAUL ALVAREZ
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Gender | Male
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 9343 TECH CENTER DR
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City | SACRAMENTO
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State | CA
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Zip | 95826-2563
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Country | US
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Telephone | 916-457-3129
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Fax |
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Provider Business Mailing Address
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Address Line | 18225 HALE AVE
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City | MORGAN HILL
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State | CA
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Zip | 95037-3547
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Country | US
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Telephone | 408-465-8280
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 14835
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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