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General NPI Number Information
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NPI Number | 1902051055
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Entity Type | Organization
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Legal Business Name | ALVAREZ AUDIOLOGY & HEARING LLC
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 377 PALM COAST PKWY SW UNIT 3
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City | PALM COAST
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State | FL
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Zip | 32137-4780
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Country | US
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Telephone | 386-283-4932
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Fax | 386-283-4934
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Provider Business Mailing Address
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Address Line | 377 PALM COAST PKWY SW UNIT 3
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City | PALM COAST
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State | FL
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Zip | 32137-4780
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Country | US
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Telephone | 386-283-4932
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Fax | 386-283-4934
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | INDIRA ALVAREZ
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Credential | AUD
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Telephone | 386-283-4932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY1479
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License Number State | FL
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