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General NPI Number Information
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NPI Number | 1447075056
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Entity Type | Individual
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Provider Name | MONICA ALVARADO PT
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 6 FAIRFIELD BLVD STE 6
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082-4628
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Country | US
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Telephone | 904-373-0904
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Fax | 904-996-6923
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Provider Business Mailing Address
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Address Line | 4230 PABLO PROFESSIONAL CT STE 155
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City | JACKSONVILLE
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State | FL
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Zip | 32224-3223
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Country | US
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Telephone | 904-996-6922
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Fax | 904-996-6923
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT42300
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License Number State | FL
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