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General NPI Number Information
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NPI Number | 1154908051
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Entity Type | Individual
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Provider Name | ALEC KERINS MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 321 MADISON ST
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City | SHERIDAN
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State | MT
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Zip | 59749-9636
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Country | US
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Telephone | 406-842-5453
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Fax | 406-842-5057
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Provider Business Mailing Address
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Address Line | PO BOX 336
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City | SHERIDAN
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State | MT
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Zip | 59749-0336
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Country | US
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Telephone | 406-842-5453
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Fax | 406-842-5057
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 143196
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License Number State | MT
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