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General NPI Number Information
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NPI Number | 1447072343
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Entity Type | Individual
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Provider Name | LAZARO RODRIGUEZ ALVAREZ
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Gender | Male
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 4793 N CONGRESS AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-7937
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Country | US
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Telephone | 561-722-9107
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Fax |
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Provider Business Mailing Address
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Address Line | 441 BROWARD AVE # 441
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City | GREENACRES
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State | FL
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Zip | 33463-2001
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Country | US
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Telephone | 305-846-0509
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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