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General NPI Number Information
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NPI Number | 1912877218
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Entity Type | Individual
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Provider Name | THERESE MARIE ALVAREZ
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Gender | Female
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 17503 LA CANTERA PKWY # 104-404
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City | SAN ANTONIO
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State | TX
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Zip | 78257-8207
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Country | US
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Telephone | 210-802-1661
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Fax | 210-579-6710
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Provider Business Mailing Address
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Address Line | 847 E ASHBY PL APT 654
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City | SAN ANTONIO
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State | TX
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Zip | 78212-2075
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Country | US
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Telephone | 210-797-4638
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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 | 1051505
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License Number State | TX
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