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General NPI Number Information
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NPI Number | 1689151607
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Entity Type | Individual
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Provider Name | MARTHA ALVAREZ FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 10770 SE 173RD ST
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City | SUMMERFIELD
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State | FL
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Zip | 34491-6851
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Country | US
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Telephone | 352-425-7321
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Fax | 352-748-2700
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Provider Business Mailing Address
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Address Line | 2682 SW 178TH ST
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City | OCALA
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State | FL
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Zip | 34473-4412
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Country | US
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Telephone | 856-297-3387
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26NJ00831600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9490616
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN9490616
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License Number State | FL
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