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General NPI Number Information
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NPI Number | 1851779367
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Entity Type | Individual
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Provider Name | ALEXANDER P HALEY MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2015
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 35TH MEDICAL GROUP UNIT 5024
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City | APO
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State | AP
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Zip | 96319-5024
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Country | US
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Telephone | 314-226-6490
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Fax |
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Provider Business Mailing Address
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Address Line | 35TH MEDICAL GROUP UNIT 5024
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City | APO
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State | AP
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Zip | 96319-0800
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Country | US
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Telephone | 314-226-6490
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29429
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P31340
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 29429
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 29429
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License Number State | NE
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