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General NPI Number Information
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NPI Number | 1366021974
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Entity Type | Individual
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Provider Name | EVAN D. ALEXANDER MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 411 W TIPTON ST
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City | SEYMOUR
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State | IN
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Zip | 47274-2363
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Country | US
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Telephone | 815-522-2349
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Fax | 812-522-0532
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Provider Business Mailing Address
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Address Line | 411 W TIPTON ST
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City | SEYMOUR
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State | IN
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Zip | 47274-2363
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Country | US
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Telephone | 812-522-0459
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Fax | 812-522-0790
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01097151A
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License Number State | IN
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