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General NPI Number Information
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NPI Number | 1770987885
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Entity Type | Organization
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Legal Business Name | MARIE EMMA B. ALVAREZ MD LLC
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 1455 MAIN AVE FIRST FLOOR
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City | CLIFTON
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State | NJ
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Zip | 07011-2127
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Country | US
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Telephone | 862-225-9852
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Fax | 862-225-9853
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Provider Business Mailing Address
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Address Line | 1455 MAIN AVE FIRST FLOOR
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City | CLIFTON
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State | NJ
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Zip | 07011-2127
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Country | US
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Telephone | 862-225-9852
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Fax | 862-225-9853
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. MARIE EMMA ALVAREZ
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Credential | MD
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Telephone | 862-225-9852
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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 | 25MA08158100
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License Number State | NJ
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