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General NPI Number Information
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NPI Number | 1578983367
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Entity Type | Individual
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Provider Name | ALEX COURVILLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 109 1ST AVE
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City | KINDER
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State | LA
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Zip | 70648-3512
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Country | US
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Telephone | 337-205-2301
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Fax | 866-538-0787
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Provider Business Mailing Address
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Address Line | 109 1ST AVE
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City | KINDER
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State | LA
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Zip | 70648-3512
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Country | US
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Telephone | 337-205-2301
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Fax | 866-538-0787
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 208086
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License Number State | LA
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