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1487734414 NPI number — RONALD J ALVAREZ M.D.

NPI Number: 1487734414
Health Care Provider/Practitioner: RONALD J ALVAREZ M.D.

Information about “1487734414” NPI (RONALD J ALVAREZ M.D.) exists in 1487734414 in HTML format HTML  |  1487734414 in plain Text format TXT  |  1487734414 in PDF (Portable Document Format) PDF  |  1487734414 in an XML format XML  formats.

NPI Number : 1487734414 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487734414",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALVAREZ",
    "FirstName": "RONALD",
    "MiddleName": "J",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "80 LACY ST NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARIETTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30060-1107",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-427-0368",
    "MailingAddressFaxNumber": "678-581-5969",
    "FirstLinePracticeLocationAddress": "2365 OLD MILTON PKWY",
    "SecondLinePracticeLocationAddress": "STE 300",
    "PracticeLocationAddressCityName": "ALPHARETTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30009-2140",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-740-1860",
    "PracticeLocationAddressFaxNumber": "678-347-2104",
    "EnumerationDate": "10/16/2006",
    "LastUpdateDate": "12/16/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "051404",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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