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General NPI Number Information
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NPI Number | 1649254459
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Entity Type | Individual
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Provider Name | ROBERT M ALALY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 1201 BISHOP ST
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City | UNION CITY
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State | TN
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Zip | 38261-5403
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Country | US
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Telephone | 731-885-2410
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Fax | 314-821-1833
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Provider Business Mailing Address
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Address Line | PO BOX 3153 DEPT 30755
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City | BIRMINGHAM
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State | AL
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Zip | 35287-9283
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Country | US
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Telephone | 314-238-5260
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Fax | 314-821-1833
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | R7629
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License Number State | MO
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