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General NPI Number Information
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NPI Number | 1548581697
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Entity Type | Individual
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Provider Name | DIANA JANETT ALVARADO PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 723 HILL COUNTRY DR STE C
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City | KERRVILLE
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State | TX
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Zip | 78028-6043
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Country | US
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Telephone | 830-792-5800
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Fax | 830-896-2625
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 830-730-5025
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Fax | 830-730-4207
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA60178663
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA60178663
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA06559
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License Number State | TX
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