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General NPI Number Information
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NPI Number | 1265480453
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Entity Type | Organization
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Legal Business Name | ALAN STOLIER, MD, LLC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2525 SEVERN AVE
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City | METAIRIE
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State | LA
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Zip | 70002-5932
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Country | US
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Telephone | 985-234-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | MADISONVILLE
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State | LA
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Zip | 70447-0249
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Country | US
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Telephone | 985-234-3000
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ALAN JERRY STOLIER
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Credential | M.D.
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Telephone | 985-234-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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