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General NPI Number Information
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NPI Number | 1710579198
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Entity Type | Individual
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Provider Name | PEDRO MANUEL ALVAREZ PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 2734 SW 37TH AVE
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City | COCONUT GROVE
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State | FL
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Zip | 33133-2728
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Country | US
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Telephone | 305-642-4263
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Fax | 305-426-3329
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Provider Business Mailing Address
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Address Line | 7941 SW 152ND AVE APT 3
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City | MIAMI
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State | FL
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Zip | 33193-3217
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Country | US
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Telephone | 305-717-8156
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9113765
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9113765
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License Number State | FL
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