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General NPI Number Information
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NPI Number | 1225947898
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Entity Type | Individual
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Provider Name | NICHOLAS ALVAREZ
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Gender | Male
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 8322 BELLONA AVE RM 100
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City | TOWSON
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State | MD
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Zip | 21204-2063
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Country | US
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Telephone | 410-337-8847
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 FAWN ST
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City | BALTIMORE
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State | MD
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Zip | 21202-4416
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Country | US
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Telephone | 973-902-1999
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30988
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License Number State | MD
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