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General NPI Number Information
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NPI Number | 1780122960
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Entity Type | Organization
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Legal Business Name | DR ALVAREZ
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 5400 ALDRIN CT
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City | BAKERSFIELD
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State | CA
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Zip | 93313-2103
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Country | US
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Telephone | 666-142-8599
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 ALDRIN CT
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City | BAKERSFIELD
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State | CA
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Zip | 93313-2103
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Country | US
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Telephone | 661-489-5999
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Fax |
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Authorized Official
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Title or Position | PRIMARY CARE DOCTOR
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Name | DR. CARLOS ALVAREZ
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Credential | M.D.
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Telephone | 661-489-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95004591
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License Number State | CA
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