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General NPI Number Information
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NPI Number | 1811419377
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Entity Type | Individual
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Provider Name | FLORYMAR SIMONET ALVAREZ MD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2017
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 80 PHOENIX AVE STE 201
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City | WATERBURY
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State | CT
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Zip | 06702-1418
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Country | US
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Telephone | 203-756-8021
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Fax | 203-596-9038
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Provider Business Mailing Address
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Address Line | 80 PHOENIX AVE STE 201
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City | WATERBURY
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State | CT
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Zip | 06702-1418
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Country | US
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Telephone | 203-756-8021
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Fax | 203-596-9038
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 65613
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License Number State | CT
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