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General NPI Number Information
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NPI Number | 1336534304
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Entity Type | Individual
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Provider Name | JESSICA ALVAREZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 8940 N KENDALL DR STE 804E
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 305-270-2331
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Fax | 305-270-9729
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Provider Business Mailing Address
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Address Line | 8940 N KENDALL DR STE 804E
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City | MIAMI
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State | FL
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Zip | 33176-2151
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Country | US
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Telephone | 305-270-2331
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Fax | 305-270-9729
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME140191
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License Number State | FL
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