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General NPI Number Information
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NPI Number | 1679640544
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Entity Type | Organization
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Legal Business Name | LUIS J ALVAREZ DDS PC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 190 BRODHEAD ROAD SUITE 110
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City | BETHLEHEM
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State | PA
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Zip | 18017
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Country | US
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Telephone | 610-974-8844
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Fax | 610-974-9398
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Provider Business Mailing Address
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Address Line | 190 BRODHEAD ROAD SUITE 110
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City | BETHLEHEM
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State | PA
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Zip | 18017
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Country | US
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Telephone | 610-974-8844
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Fax | 610-974-9398
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIS JAVIER ALVAREZ
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Credential | DDS
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Telephone | 610-974-8844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS029372L
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License Number State | PA
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