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General NPI Number Information
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NPI Number | 1528338241
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Entity Type | Individual
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Provider Name | LISSESKA ALVAREZ LMT
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Gender | Female
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 11734 SW 112TH LN
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City | MIAMI
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State | FL
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Zip | 33186-7514
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Country | US
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Telephone | 305-586-2580
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Fax | 305-265-2010
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Provider Business Mailing Address
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Address Line | 19831 KINGSTON DR
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City | CUTLER BAY
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State | FL
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Zip | 33157
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Country | US
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Telephone | 305-586-2580
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Fax | 305-265-2010
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA27235
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA61570
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | FL
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