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General NPI Number Information
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NPI Number | 1770080475
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Entity Type | Individual
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Provider Name | ALAN V JOB MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 08/24/2024
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Provider Practice Location Address
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Address Line | 199 MOUNT EDEN PKWY FL 4
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City | BRONX
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State | NY
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Zip | 10457-7703
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Country | US
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Telephone | 718-518-5814
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Fax | 718-579-3929
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Provider Business Mailing Address
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Address Line | PO BOX 1119
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City | PROVIDENCE
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State | RI
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Zip | 02901-1119
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Country | US
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Telephone |
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Fax |
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 327940
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License Number State | NY
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