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General NPI Number Information
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NPI Number | 1023027182
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Entity Type | Individual
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Provider Name | LAWRENCE A ALDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 144 FAIRWAY DR STE A
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City | KERRVILLE
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State | TX
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Zip | 78028-6456
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Country | US
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Telephone | 830-257-5500
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Fax | 830-257-5501
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Provider Business Mailing Address
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Address Line | 144 FAIRWAY DR
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City | KERRVILLE
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State | TX
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Zip | 78028-6455
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Country | US
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Telephone | 830-257-5500
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Fax | 830-331-2475
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K7967
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License Number State | TX
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