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General NPI Number Information
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NPI Number | 1750796785
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Entity Type | Individual
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Provider Name | ANTHONY JAY ALVARADO-ORTIZ D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2014
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 215 E QUINCY ST STE 430
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City | SAN ANTONIO
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State | TX
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Zip | 78215-2034
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Country | US
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Telephone | 830-239-5528
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Fax | 210-640-1648
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Provider Business Mailing Address
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Address Line | 131 S ROBERTSON ST STE 1300
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2807
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Country | US
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Telephone | 504-988-5565
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Fax | 504-988-5793
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 309971
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | S9089
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License Number State | TX
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