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General NPI Number Information
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NPI Number | 1184649139
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Entity Type | Individual
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Provider Name | JERRY GILBERT ALANIZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 1105 MEMORIAL DR
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City | ARTESIA
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State | NM
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Zip | 88210-1189
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Country | US
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Telephone | 505-746-9848
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Fax | 505-746-9840
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Provider Business Mailing Address
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Address Line | 10174 HOPE HWY
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City | ARTESIA
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State | NM
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Zip | 88210-9522
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Country | US
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Telephone | 505-746-6349
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Fax | 505-746-9840
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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 | 78-101
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License Number State | NM
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