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General NPI Number Information
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NPI Number | 1568457141
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Entity Type | Individual
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Provider Name | LAWRENCE J ALTER MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 7200 STATE HIGHWAY 161 SUITE 200
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City | IRVING
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State | TX
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Zip | 75039-4132
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Country | US
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Telephone | 817-303-4521
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Fax | 972-401-4930
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Provider Business Mailing Address
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Address Line | 7200 STATE HIGHWAY 161 SUITE 200
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City | IRVING
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State | TX
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Zip | 75039-4132
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Country | US
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Telephone | 972-401-4940
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Fax | 972-401-4930
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | G6258
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License Number State | TX
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