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General NPI Number Information
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NPI Number | 1669651832
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Entity Type | Individual
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Provider Name | JAMES E. ALVIS D.C., Q.M.E., A.M.E.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 520 E FOOTHILL BLVD SUITE A
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City | POMONA
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State | CA
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Zip | 91767-1200
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Country | US
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Telephone | 909-399-9696
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Fax | 909-399-0065
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Provider Business Mailing Address
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Address Line | 520 E FOOTHILL BLVD SUITE A
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City | POMONA
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State | CA
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Zip | 91767-1200
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Country | US
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Telephone | 909-399-9696
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Fax | 909-399-0065
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC16240
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | DC16240
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License Number State | CA
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