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General NPI Number Information
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NPI Number | 1679869127
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Entity Type | Individual
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Provider Name | ALEXANDER JAMES MINNEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 300 GREENO RD S STE B
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City | FAIRHOPE
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State | AL
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Zip | 36532
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Country | US
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Telephone | 251-929-3430
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Fax | 251-929-3424
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Provider Business Mailing Address
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Address Line | 300 GREENO RD S
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City | FAIRHOPE
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State | AL
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Zip | 36532-1905
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Country | US
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Telephone | 251-929-3430
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Fax | 251-929-3424
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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 | AL36412
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License Number State | AL
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