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NPI 1710495742

NPI 1710495742 : JAMES ALVES : TALLAHASSEE, FL

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General NPI Number Information
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    NPI Number           |    1710495742
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES ALVES
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/11/2018
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    Last Update Date     |    01/11/2018
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Provider Practice Location Address
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    Address Line         |    211B DELTA CT 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32303-4835
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    Country              |    US
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    Telephone            |    850-386-1560
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2110 TRESCOTT DR 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32308-0732
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    Country              |    US
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    Telephone            |    850-566-7607
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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