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General NPI Number Information
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NPI Number | 1558246249
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Entity Type | Individual
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Provider Name | MATTHEW RYAN ALVAREZ
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Gender | Male
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 4905 DEL RAY AVE STE 301
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City | BETHESDA
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State | MD
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Zip | 20814-2558
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Country | US
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Telephone | 240-752-7650
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Fax |
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Provider Business Mailing Address
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Address Line | 4704 OLDEN RD
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City | ROCKVILLE
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State | MD
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Zip | 20852-2344
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Country | US
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Telephone | 352-870-3926
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LGM1135
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License Number State | MD
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