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General NPI Number Information
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NPI Number | 1760032056
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Entity Type | Individual
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Provider Name | ALEXANDRA ALVAREZ RIVAS LCSW, MSW
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Gender | Female
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 1213 WEST MOREHEAD ST 5TH FLOOR #2049
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City | CHARLOTTE
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State | NC
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Zip | 28208
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Country | US
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Telephone | 980-224-0766
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 GRAND UNION WAY
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City | CHARLOTTE
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State | NC
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Zip | 28209-1990
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Country | US
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Telephone | 301-755-7402
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 224924
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C014703
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License Number State | NC
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