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General NPI Number Information
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NPI Number | 1629720636
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Entity Type | Individual
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Provider Name | MARIA JEANETTE ALFEREZ PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 12200 HIGHWAY 43
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-4737
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Country | US
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Telephone | 256-332-3375
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Fax |
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Provider Business Mailing Address
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Address Line | 200 GIN CT APT 503
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-3946
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Country | US
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Telephone | 205-275-3785
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH7816
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License Number State | AL
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