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General NPI Number Information
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NPI Number | 1417240912
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Entity Type | Organization
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Legal Business Name | HENRY ALVAREZ MD PA
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 7330 SW 62ND PL SUITE #400
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4825
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Country | US
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Telephone | 305-667-1671
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Fax | 305-444-5977
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Provider Business Mailing Address
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Address Line | PO BOX 143976
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City | CORAL GABLES
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State | FL
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Zip | 33114-3976
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Country | US
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Telephone | 305-667-1671
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Fax | 305-444-5977
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HENRY ALVAREZ
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Credential | M.D.
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Telephone | 305-667-1671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME 44611
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License Number State | FL
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