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General NPI Number Information
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NPI Number | 1528622784
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Entity Type | Individual
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Provider Name | INNA ALVAREZ BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 11401 SW 40TH ST STE 304
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City | MIAMI
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State | FL
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Zip | 33165-3339
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Country | US
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Telephone | 786-907-4925
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Fax | 786-907-4972
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Provider Business Mailing Address
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Address Line | 6980 NW 186TH ST APT 524
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City | HIALEAH
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State | FL
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Zip | 33015-8307
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Country | US
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Telephone | 786-458-4464
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-55379
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License Number State | FL
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