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General NPI Number Information
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NPI Number | 1528430410
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Entity Type | Individual
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Provider Name | JACQUELYN ELIZABETH ALVARADO DNP, RN, CNM
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Gender | Female
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3455 PEACHTREE RD NE
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City | ATLANTA
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State | GA
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Zip | 30326-3254
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Country | US
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Telephone | 914-919-9200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 732973
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City | DALLAS
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State | TX
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Zip | 75373-2973
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Country | US
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Telephone | 817-702-2450
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Fax | 817-702-8445
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP128514
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License Number State | TX
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