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General NPI Number Information
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NPI Number | 1851483424
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Entity Type | Individual
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Provider Name | IRMA L ALVAREZ DMD
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CARR 167 MARGINAL 4 SUITE 4 FOREST HILLS
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City | BAYAMIN
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-798-6456
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Fax | 787-798-6456
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Provider Business Mailing Address
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Address Line | PO BOX 607071 PMB 287
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City | BAYAMIN
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State | PR
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Zip | 00960-7071
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Country | US
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Telephone | 787-798-6456
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Fax | 787-798-6456
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | PR2305
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License Number State | PR
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