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General NPI Number Information
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NPI Number | 1205558392
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Entity Type | Individual
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Provider Name | MARIAH CASSIE ALVAREZ
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Gender | Female
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 3000 ILLINOIS AVE
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City | KILLEEN
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State | TX
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Zip | 76543-5371
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Country | US
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Telephone | 254-402-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 LAVA LN
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City | KILLEEN
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State | TX
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Zip | 76549-4902
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Country | US
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Telephone | 862-262-4020
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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