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General NPI Number Information
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NPI Number | 1114782745
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Entity Type | Organization
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Legal Business Name | ALEXANDER ALI TYLER-HASHEMI MD PLLC
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 125 CARL DR APT 57
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6255
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Country | US
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Telephone | 501-651-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2605 COLLINS DR
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City | CONWAY
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State | AR
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Zip | 72034-9687
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Country | US
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Telephone | 912-247-5495
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Fax |
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | ALEXANDER TYLER
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Credential | MD
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Telephone | 501-651-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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