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General NPI Number Information
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NPI Number | 1932632213
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Entity Type | Individual
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Provider Name | ALEXANDER TIEMEIER D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 462 GRIDER ST
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City | BUFFALO
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State | NY
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Zip | 14215-3021
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Country | US
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Telephone | 716-898-4226
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 TREE SPLIT LN
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City | NEPTUNE BEACH
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State | FL
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Zip | 32266-3637
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Country | US
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Telephone | 904-910-3073
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 334553
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 334553
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License Number State | NY
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