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NPI 1629667985

NPI 1629667985 : VERONICA ALVAREZ : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1629667985
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    Entity Type          |    Individual 
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    Provider Name        |    VERONICA ALVAREZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/12/2021
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    Last Update Date     |    01/12/2021
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Provider Practice Location Address
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    Address Line         |    511 N BROOKHURST ST STE 200 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92801-5229
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    Country              |    US
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    Telephone            |    714-780-0750
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    Fax                  |    714-780-0757
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Provider Business Mailing Address
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    Address Line         |    10832 VAN RUITEN ST 
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    City                 |    NORWALK
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    State                |    CA
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    Zip                  |    90650-3548
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    Country              |    US
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    Telephone            |    562-716-1595
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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        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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