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General NPI Number Information
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NPI Number | 1346282241
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Entity Type | Individual
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Provider Name | ROBERT E ALLEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 60 S STOCKWELL RD
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City | EVANSVILLE
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State | IN
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Zip | 47714-0247
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Country | US
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Telephone | 812-476-5437
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Fax | 812-422-7558
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Provider Business Mailing Address
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Address Line | 415 MULBERRY ST
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City | EVANSVILLE
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State | IN
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Zip | 47713-1230
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Country | US
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Telephone | 812-423-7791
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Fax | 812-422-7558
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 01055924A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01055924A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 01055924A
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License Number State | IN
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