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General NPI Number Information
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NPI Number | 1700035219
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Entity Type | Individual
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Provider Name | GEORGE LEWIS ALVARADO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 144 W 12TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-8202
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Country | US
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Telephone | 212-604-8193
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Fax |
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Provider Business Mailing Address
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Address Line | 101 W 15TH ST APT 2LN
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City | NEW YORK
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State | NY
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Zip | 10011-6748
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Country | US
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Telephone | 917-750-9836
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 246248
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License Number State | NY
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