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General NPI Number Information
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NPI Number | 1245621226
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Entity Type | Organization
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Legal Business Name | ALVAREZ ENTERPRISES, LLC
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 02/11/2015
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Provider Practice Location Address
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Address Line | 386 MAHOGANY DRIVE
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City | KEY LARGO
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State | FL
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Zip | 33037
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Country | US
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Telephone | 305-986-8293
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Fax | 954-357-2146
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Provider Business Mailing Address
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Address Line | PO BOX 370543
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City | KEY LARGO
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State | FL
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Zip | 33037-0543
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Country | US
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Telephone | 305-986-8293
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Fax | 954-357-2146
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Authorized Official
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Title or Position | OWNER
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Name | MR. LUIS A ALVAREZ
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Credential | MPT
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Telephone | 305-986-8293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT 19938
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License Number State | FL
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