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General NPI Number Information
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NPI Number | 1376714691
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Entity Type | Individual
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Provider Name | NINOSKA SOCORRO ALVAREZ MSPT
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Gender | Female
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 10475 CENTURION PKWY N SUITE 304
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City | JACKSONVILLE
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State | FL
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Zip | 32256-5003
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Country | US
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Telephone | 904-854-2050
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Fax | 904-854-2058
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Provider Business Mailing Address
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Address Line | 1707 COPELAND ST APT 7
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4614
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Country | US
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Telephone | 305-788-7506
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 20091
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License Number State | FL
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