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General NPI Number Information
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NPI Number | 1194295014
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Entity Type | Individual
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Provider Name | DR. JAMES ALVARADO
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Gender | Male
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Dates
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Enumeration Date | 12/04/2018
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Last Update Date | 12/04/2018
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Provider Practice Location Address
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Address Line | 10 BOULDER CRESCENT ST STE 102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3350
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Country | US
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Telephone | 702-576-6053
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Fax |
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Provider Business Mailing Address
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Address Line | 8129 SUMMERSET DR APT H
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-6113
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Country | US
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Telephone | 702-576-6053
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPCC.0016228
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License Number State | CO
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