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General NPI Number Information
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NPI Number | 1992520498
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Entity Type | Individual
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Provider Name | KRISTY ALVAREZ
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 2068 LUCAS PKWY
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City | LOWELL
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State | IN
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Zip | 46356-2169
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Country | US
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Telephone | 219-690-7025
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Fax |
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Provider Business Mailing Address
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Address Line | 734 S WASHINGTON ST
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City | HOBART
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State | IN
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Zip | 46342-5028
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Country | US
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Telephone | 219-689-5382
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 33007517A
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License Number State | IN
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