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General NPI Number Information
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NPI Number | 1770191397
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Entity Type | Individual
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Provider Name | DIANA A ALVAREZ
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Gender | Female
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 10901 MACARTHUR BLVD STE 201
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City | OAKLAND
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State | CA
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Zip | 94605-5200
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Country | US
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Telephone | 510-328-3880
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Fax | 510-373-2482
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Provider Business Mailing Address
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Address Line | PO BOX 543
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City | SAN LORENZO
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State | CA
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Zip | 94580-0543
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Country | US
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Telephone | 510-928-9424
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Fax | 510-373-2482
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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 | 94685
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License Number State | CA
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