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General NPI Number Information
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NPI Number | 1548313950
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Entity Type | Individual
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Provider Name | JOSE E ALVAREZ-BERNAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 6408 N ARMENIA AVE STE B-1
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City | TAMPA
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State | FL
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Zip | 33604-5770
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Country | US
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Telephone | 813-352-8305
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Fax | 813-666-0509
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Provider Business Mailing Address
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Address Line | 6408 N ARMENIA AVE STE B-1
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City | TAMPA
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State | FL
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Zip | 33604-5770
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Country | US
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Telephone | 813-352-8305
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Fax | 813-666-0509
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | ME38971
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0038971
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License Number State | FL
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