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General NPI Number Information
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NPI Number | 1285696195
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Entity Type | Individual
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Provider Name | ANGEL D. ALVAREZ D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 113 LIELMANIS AVE
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City | HURLBURT FIELD
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State | FL
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Zip | 32544-5613
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Country | US
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Telephone | 850-884-7881
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Fax | 850-881-3404
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Provider Business Mailing Address
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Address Line | 9324 VANDIVERE DR
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City | NAVARRE
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State | FL
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Zip | 32566-2930
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Country | US
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Telephone | 850-936-5125
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1504
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License Number State | PR
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