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General NPI Number Information
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NPI Number | 1760945653
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Entity Type | Individual
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Provider Name | BIANCA ISABEL ALVAREZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 2550 W DR MLK BLVD STE A
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City | TAMPA
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State | FL
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Zip | 33607-6302
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Country | US
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Telephone | 813-871-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 W MLK BLVD STE A
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City | TAMPA
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State | FL
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Zip | 33607-6302
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Country | US
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Telephone | 813-871-5437
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME157852
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License Number State | FL
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