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General NPI Number Information
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NPI Number | 1295261972
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Entity Type | Organization
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Legal Business Name | ANDREA CHRISTINE ALVIAR
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 313 TIDER DR
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City | EDGERTON
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State | WI
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Zip | 53534-2106
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Country | US
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Telephone | 608-225-0031
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Fax |
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Provider Business Mailing Address
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Address Line | 313 TIDER DR
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City | EDGERTON
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State | WI
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Zip | 53534-2106
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Country | US
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Telephone | 608-225-0031
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Fax |
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Authorized Official
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Title or Position | PRIVATE DUTY NURSE
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Name | MRS. ANDREA CHRISTINE ALVIAR
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Credential | RN
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Telephone | 608-225-0031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 233344-30
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License Number State | WI
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