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General NPI Number Information
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NPI Number | 1851735831
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Entity Type | Individual
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Provider Name | ALFREDO JOSE DAVALOS-BALDERAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1201 E MICHIGAN AVE STE 240
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City | JACKSON
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State | MI
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Zip | 49201-1855
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Country | US
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Telephone | 517-205-7620
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Fax |
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Provider Business Mailing Address
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Address Line | 7490 BROMPTON ST APT 143
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City | HOUSTON
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State | TX
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Zip | 77025-2276
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Country | US
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Telephone | 832-371-2534
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD20850
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301114338
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License Number State | MI
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