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General NPI Number Information
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NPI Number | 1376730473
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Entity Type | Organization
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Legal Business Name | TEODORO A ALVIA MD SC
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 990 GRAND CANYON PKWY STE 415
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-1731
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Country | US
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Telephone | 847-519-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 990 GRAND CANYON PKWY STE 415
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-1731
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | TEODORO A ALVIA
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Credential |
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Telephone | 847-519-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036049412
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License Number State | IL
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