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General NPI Number Information
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NPI Number | 1598158669
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Entity Type | Individual
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Provider Name | MR. ARIEL ALVAREZ
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Gender | Male
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 18410 JAMAICA AVE FL 5
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City | HOLLIS
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State | NY
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Zip | 11423-2400
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Country | US
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Telephone | 718-454-3584
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Fax |
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Provider Business Mailing Address
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Address Line | 328 REVERE AVE
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City | BRONX
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State | NY
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Zip | 10465-3014
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Country | US
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Telephone | 646-842-6447
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 094287
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License Number State | NY
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