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General NPI Number Information
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NPI Number | 1003607557
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Entity Type | Organization
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Legal Business Name | ALEXANDRE FAMILY HEALTH CENTER LTD
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1111 SUPERIOR ST STE 408
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City | MELROSE PARK
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State | IL
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Zip | 60160-4158
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Country | US
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Telephone | 708-945-0531
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 INDUSTRIAL LOOP
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City | GREENDALE
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State | WI
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Zip | 53129-2452
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Country | US
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Telephone | 414-423-4100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHELLE ALEXANDRE
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Credential | MD
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Telephone | 414-858-4107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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