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General NPI Number Information
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NPI Number | 1679634232
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Entity Type | Individual
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Provider Name | JORGE A ALVAREZ DDS
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8993 OKEECHOBEE BLVD SUITE 102
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-5144
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Country | US
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Telephone | 561-792-7766
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Fax | 561-784-9457
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Provider Business Mailing Address
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Address Line | 10395 GENTLEWOOD FOREST DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-4863
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Country | US
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Telephone | 561-792-7766
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Fax | 561-784-9457
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN15363
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License Number State | FL
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