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General NPI Number Information
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NPI Number | 1649537796
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Entity Type | Individual
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Provider Name | ERNESTO ALVAREZ LCSW-R
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Gender | Male
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 130 PONDFIELD RD SUITE #1
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City | BRONXVILLE
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State | NY
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Zip | 10708-4015
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Country | US
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Telephone | 914-318-2733
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Fax |
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Provider Business Mailing Address
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Address Line | 55 KNOLLS CRESCENT APT. 9-B
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City | RIVERDALE
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State | NY
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Zip | 10463
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Country | US
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Telephone | 914-318-2733
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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 | PO23962
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License Number State | NY
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