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General NPI Number Information
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NPI Number | 1861452500
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Entity Type | Individual
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Provider Name | GREGORY FRANKLIN ALVINE MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2006
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 810 E 23RD ST
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City | SIOUX FALLS
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State | SD
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Zip | 57105-2135
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Country | US
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Telephone | 605-331-5890
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Fax |
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Provider Business Mailing Address
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Address Line | 2908 E 26TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57103-4034
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Country | US
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Telephone | 605-336-2638
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Fax | 605-334-3500
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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 | 4166
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License Number State | SD
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