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General NPI Number Information
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NPI Number | 1508493230
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Entity Type | Individual
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Provider Name | ALPHA TAMIR ANDERS MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 520 S EAGLE RD STE 2207
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City | MERIDIAN
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State | ID
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Zip | 83642-6354
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Country | US
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Telephone | 208-947-2266
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Fax | 208-947-2267
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Provider Business Mailing Address
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Address Line | 9452 MEDICAL CENTER DR # 898
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City | LA JOLLA
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State | CA
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Zip | 92037-1337
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Country | US
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Telephone | 858-249-3800
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 7771956
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A193769
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 323605
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License Number State | LA
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