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General NPI Number Information
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NPI Number | 1497065221
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Entity Type | Individual
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Provider Name | MS. DIANA LYNN ALVES
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 3801 MIRANDA AVE VA PALO ALTO HEALTH CARE SYSTEM
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City | PALO ALTO
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State | CA
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Zip | 94304-1207
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Country | US
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Telephone | 650-815-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 19008 TOM PAINE AVE
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City | TRACY
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State | CA
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Zip | 95304
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Country | US
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Telephone | 209-834-4929
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS11496
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License Number State | CA
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