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General NPI Number Information
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NPI Number | 1699164376
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Entity Type | Individual
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Provider Name | ANDREW PHILLIP ALVAREZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2015
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 9975 TAVISTOCK LAKES BLVD STE 220
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City | ORLANDO
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State | FL
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Zip | 32827-7665
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Country | US
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Telephone | 844-407-4070
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Fax | 407-743-3050
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Provider Business Mailing Address
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Address Line | 833 CHESTNUT ST STE 520
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4430
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Country | US
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Telephone | 609-677-7003
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME157925
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME157925
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License Number State | FL
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