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NPI 1386445997

NPI 1386445997 : AMY ALVAREZ : HOBBS, NM

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General NPI Number Information
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    NPI Number           |    1386445997
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    Entity Type          |    Individual 
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    Provider Name        |    AMY ALVAREZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2025
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    Last Update Date     |    03/20/2025
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Provider Practice Location Address
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    Address Line         |    236 E NAVAJO DR SUITE 1300
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    City                 |    HOBBS
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    State                |    NM
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    Zip                  |    88240
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    Country              |    US
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    Telephone            |    575-201-8494
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    630 E LLANO DR 
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    City                 |    HOBBS
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    State                |    NM
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    Zip                  |    88240-4012
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    Country              |    US
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    Telephone            |    575-201-8494
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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        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    DH3731
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    License Number State |    NM
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