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General NPI Number Information
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NPI Number | 1215969050
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Entity Type | Organization
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Legal Business Name | TONY ALAMO MD LTD
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 06/30/2024
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Provider Practice Location Address
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Address Line | 56 N PECOS ROAD SUITE A
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City | HENDERSON
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State | NV
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Zip | 89074
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Country | US
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Telephone | 702-456-4011
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Fax | 702-454-5224
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Provider Business Mailing Address
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Address Line | 56 N PECOS ROAD SUITE A
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City | HENDERSON
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State | NV
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Zip | 89074
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Country | US
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Telephone | 702-456-4011
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Fax | 702-454-5224
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. ANTONIO TADEO ALAMO
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Credential | MD
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Telephone | 702-456-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10327
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 7151
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License Number State | NV
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