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General NPI Number Information
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NPI Number | 1982176194
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Entity Type | Organization
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Legal Business Name | LAWRENCE A. ALDER, MD. PLLC
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 144 FAIRWAY DR STE A
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City | KERRVILLE
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State | TX
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Zip | 78028-6456
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Country | US
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Telephone | 830-257-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 144 FAIRWAY DR STE A
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City | KERRVILLE
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State | TX
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Zip | 78028-6456
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Country | US
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Telephone | 830-257-5500
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Fax |
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Authorized Official
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Title or Position | MD/ADMINIS
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Name | DR. LAWRENCE A ALDER
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Credential | MD
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Telephone | 210-274-1055
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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 |
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License Number State |
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