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General NPI Number Information
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NPI Number | 1609942713
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Entity Type | Individual
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Provider Name | MR. STEPHEN J ALVES
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 99 MONTECILLO RD
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3308
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Country | US
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Telephone | 415-444-4936
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Fax | 415-444-2556
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Provider Business Mailing Address
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Address Line | 319 SEASIDE DR
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City | PACIFICA
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State | CA
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Zip | 94044-2934
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Country | US
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Telephone | 415-444-4936
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 168
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License Number State | CA
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