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General NPI Number Information
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NPI Number | 1437501079
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Entity Type | Individual
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Provider Name | WILLIAM ANDRES ALVAREZ SUAREZ MD,DMD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3251 NW FEDERAL HWY
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City | JENSEN BEACH
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State | FL
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Zip | 34957-4457
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Country | US
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Telephone | 954-358-4260
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S OLD WOODWARD AVE STE 300
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1797
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Country | US
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Telephone | 857-241-8185
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Fax | 857-241-8185
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DN30870
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 25523
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4351052050
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License Number State | MI
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