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General NPI Number Information
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NPI Number | 1285748707
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Entity Type | Organization
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Legal Business Name | ALVAREZ CHIROPRACTIC INC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 101 HODENCAMP RD SUITE 103
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5836
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Country | US
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Telephone | 805-777-7003
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Fax | 805-777-7043
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Provider Business Mailing Address
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Address Line | 101 HODENCAMP RD SUITE 103
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5836
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Country | US
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Telephone | 805-777-7003
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Fax | 805-777-7043
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTIAN A ALVAREZ
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Credential | DC
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Telephone | 805-777-7003
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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 | DC26007
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License Number State | CA
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