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General NPI Number Information
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NPI Number | 1568130177
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Entity Type | Individual
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Provider Name | IRVIN EDUARDO OLVERA ALVAREZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 322 S HAMPTON RD
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City | DALLAS
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State | TX
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Zip | 75208-5617
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Country | US
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Telephone | 888-478-8432
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Fax | 469-629-1179
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Provider Business Mailing Address
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Address Line | 2701 S HAMPTON RD STE 100
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City | DALLAS
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State | TX
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Zip | 75224-2368
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Country | US
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Telephone | 972-704-8248
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 61178472
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 70127
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License Number State | TX
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