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General NPI Number Information
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NPI Number | 1487655155
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Entity Type | Individual
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Provider Name | ROBERT A ALTHAR MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 1221 W LAKEVIEW AVE
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City | PENSACOLA
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State | FL
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Zip | 32501-1836
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Country | US
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Telephone | 850-469-3500
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Fax | 850-595-1400
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Provider Business Mailing Address
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Address Line | 1221 W LAKEVIEW AVE
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City | PENSACOLA
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State | FL
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Zip | 32501-1836
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Country | US
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Telephone | 850-469-3500
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Fax | 850-595-1400
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | ME49321
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | ME49321
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME49321
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License Number State | FL
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