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General NPI Number Information
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NPI Number | 1366677973
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Entity Type | Organization
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Legal Business Name | ALPATA INPATIENT SERVICES LLC
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 340 NW COMMERCE DR
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City | LAKE CITY
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State | FL
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Zip | 32055-4709
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Country | US
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Telephone | 214-712-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD STE 1600
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City | DALLAS
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State | TX
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Zip | 75240-1331
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Country | US
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Telephone | 469-401-2386
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Fax | 214-712-2444
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY J BRYNE
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Credential | M.D.
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Telephone | 469-401-2386
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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