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General NPI Number Information
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NPI Number | 1871563023
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Entity Type | Individual
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Provider Name | KEVIN W ALTEN MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 64979 OLD TWENTY ONE RD
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9619
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Country | US
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Telephone | 740-432-1050
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Fax | 740-432-1070
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Provider Business Mailing Address
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Address Line | 64979 OLD TWENTY ONE RD
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9619
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Country | US
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Telephone | 740-432-1050
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Fax | 740-432-1070
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.067443CTR
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35067443A
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License Number State | OH
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