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General NPI Number Information
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NPI Number | 1992117717
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Entity Type | Organization
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Legal Business Name | R A ALVARADO MEDICAL PLLC
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | 4100 E PIEDRAS DR STE 165
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City | SAN ANTONIO
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State | TX
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Zip | 78228
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Country | US
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Telephone | 210-910-6653
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Fax | 210-910-5568
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Provider Business Mailing Address
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Address Line | 5804 BABCOCK RD # 318
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2134
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. RICARDO A ALVARADO
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Credential | MD
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Telephone | 210-910-6653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | N1252
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License Number State | TX
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