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General NPI Number Information
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NPI Number | 1932405271
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Entity Type | Individual
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Provider Name | JAVI ISABEL ALVARADO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 500 S WILLOW AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-3727
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Country | US
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Telephone | 931-525-6240
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Fax |
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Provider Business Mailing Address
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Address Line | 1045 E 10TH ST APT 205
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City | COOKEVILLE
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State | TN
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Zip | 38501-6912
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Country | US
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Telephone | 561-385-3443
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 45644
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License Number State | TN
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