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General NPI Number Information
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NPI Number | 1205377009
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Entity Type | Individual
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Provider Name | ALICIA MERCEDES ALVARENGA D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 20579 SANTA MARIA AVE
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5610
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Country | US
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Telephone | 510-600-3347
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Fax |
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Provider Business Mailing Address
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Address Line | 1137 WALPERT ST APT 89
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City | HAYWARD
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State | CA
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Zip | 94541-6754
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Country | US
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Telephone | 510-600-3347
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 33795
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License Number State | CA
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