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General NPI Number Information
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NPI Number | 1790116804
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Entity Type | Individual
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Provider Name | GENNY ALVAREZ NP
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Gender | Female
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Dates
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Enumeration Date | 11/29/2013
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 25880 MCBEAN PKWY
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City | SANTA CLARITA
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State | CA
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Zip | 91355-2004
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Country | US
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Telephone | 661-254-3766
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Fax |
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Provider Business Mailing Address
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Address Line | 25880 MCBEAN PKWY
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City | SANTA CLARITA
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State | CA
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Zip | 91355-2004
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Country | US
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Telephone | 661-254-3766
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 23685
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License Number State | CA
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