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General NPI Number Information
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NPI Number | 1659869048
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Entity Type | Individual
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Provider Name | ALBERTO L ALVAREZ CPO
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Gender | Male
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 3506 WASHINGTON AVE STE D
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City | GULFPORT
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State | MS
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Zip | 39507-3102
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Country | US
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Telephone | 228-864-4512
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Fax | 228-864-5339
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Provider Business Mailing Address
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Address Line | 3506 WASHINGTON AVE STE D
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City | GULFPORT
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State | MS
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Zip | 39507-3102
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Country | US
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Telephone | 228-864-4512
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Fax | 228-864-5339
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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