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General NPI Number Information
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NPI Number | 1962772541
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Entity Type | Individual
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Provider Name | DAVID ALT M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 571-231-1015
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Fax | 571-231-6631
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Provider Business Mailing Address
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Address Line | 4921 KINGSTON DR
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City | ANNANDALE
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State | VA
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Zip | 22003-6150
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Country | US
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Telephone | 301-908-4700
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 0101254407
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2083C0008X
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Taxonomy Name | Clinical Informatics Physician
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License Number | 0101254407
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101254407
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License Number State | VA
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