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General NPI Number Information
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NPI Number | 1295097970
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Entity Type | Individual
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Provider Name | ALEXANDER MACRAE HARVIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 4000 COCHRANE PKWY
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City | AMES
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State | IA
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Zip | 50014-7701
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Country | US
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Telephone | 515-509-9956
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 COCHRANE PKWY
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City | AMES
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State | IA
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Zip | 50014-7701
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Country | US
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Telephone | 515-509-9956
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD-44238
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 34761
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License Number State | SC
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