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General NPI Number Information
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NPI Number | 1144284100
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Entity Type | Organization
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Legal Business Name | HOWARD M ALIG MD INC
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 110 N 17TH AVE SUITE 100
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City | BEECH GROVE
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State | IN
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Zip | 46107-1231
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Country | US
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Telephone | 317-783-8700
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Fax | 317-783-5987
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Provider Business Mailing Address
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Address Line | 110 N 17TH AVE SUITE 100
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City | BEECH GROVE
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State | IN
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Zip | 46107-1228
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Country | US
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Telephone | 317-783-8700
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Fax | 317-783-5987
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD MARION ALIG
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Credential | M.D.
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Telephone | 317-783-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 01022661A
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License Number State | IN
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