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General NPI Number Information
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NPI Number | 1710183553
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Entity Type | Organization
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Legal Business Name | MANUEL E ALVAREZ PHD PA
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 7700 N KENDALL DR STE 415
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City | MIAMI
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State | FL
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Zip | 33156-7565
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Country | US
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Telephone | 305-274-2403
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Fax | 305-274-2433
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Provider Business Mailing Address
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Address Line | 7700 N KENDALL DR STE 415
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City | MIAMI
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State | FL
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Zip | 33156-7565
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Country | US
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Telephone | 305-274-2403
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANUEL E. ALVAREZ
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Credential | PH.D.
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Telephone | 305-274-2403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY3272
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License Number State | FL
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