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General NPI Number Information
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NPI Number | 1750515698
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Entity Type | Organization
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Legal Business Name | ELENITA V. ALVAREZ, MD., INC.
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 321 NORTH KUAKINI STREET, SUITE510
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City | HONOLULU
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State | HI
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Zip | 96817-2361
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Country | US
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Telephone | 808-521-9847
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Fax | 808-521-7236
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Provider Business Mailing Address
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Address Line | 321 NORTH KUAKINI STREET, SUITE510
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City | HONOLULU
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State | HI
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Zip | 96817-2361
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Country | US
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Telephone | 808-521-9847
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Fax | 808-521-7236
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Authorized Official
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Title or Position | MEDICAL ASSISTANT
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Name | GISSELLE CABRADILLA
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Credential |
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Telephone | 808-521-9847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD3322
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License Number State | HI
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