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General NPI Number Information
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NPI Number | 1083803563
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Entity Type | Individual
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Provider Name | ALVIN DARBY MD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 200 S LEWIS ST
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City | NEW IBERIA
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State | LA
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Zip | 70560-3916
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Country | US
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Telephone | 337-321-4168
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Fax | 337-321-6275
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Provider Business Mailing Address
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Address Line | 541 S MAGNOLIA ST
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City | LAUREL
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State | MS
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Zip | 39440-4419
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Country | US
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Telephone | 504-415-6176
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 07143R
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License Number State | LA
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