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General NPI Number Information
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NPI Number | 1285963678
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Entity Type | Individual
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Provider Name | JUAN ELMER ALVARADO PA-C
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Gender | Male
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 10924 HOBACK ST
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City | NORWALK
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State | CA
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Zip | 90650-3553
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Country | US
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Telephone | 562-929-7420
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Fax |
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Provider Business Mailing Address
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Address Line | 10924 HOBACK ST
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City | NORWALK
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State | CA
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Zip | 90650-3553
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Country | US
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Telephone | 562-929-7420
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA20496
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | PA20496
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License Number State | CA
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