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General NPI Number Information
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NPI Number | 1194307892
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Entity Type | Individual
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Provider Name | CLAUDIA LIZ BAUER ALVAREZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 546 TINTILLO HILLS
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-944-4256
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Fax |
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Provider Business Mailing Address
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Address Line | B41 CALLE ELLIOT VELEZ
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City | MANATI
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State | PR
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Zip | 00674-4615
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Country | US
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Telephone | 787-621-4364
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 000789-P.A.
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License Number State | PR
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