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General NPI Number Information
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NPI Number | 1619518891
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Entity Type | Organization
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Legal Business Name | ERNEST C. ALSOP, MD, PA
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 400 ENTERPRISE BLVD BLDG D4
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City | ROCKPORT
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State | TX
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Zip | 78382-4341
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Country | US
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Telephone | 361-729-2800
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Fax | 361-729-2405
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Provider Business Mailing Address
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Address Line | 400 ENTERPRISE BLVD BLDG D4
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City | ROCKPORT
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State | TX
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Zip | 78382-4341
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Country | US
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Telephone | 361-729-2800
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Fax | 361-729-2405
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ERNEST CARSON ALSOP
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Credential | MD
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Telephone | 361-729-1117
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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 |
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License Number State |
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