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General NPI Number Information
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NPI Number | 1083766208
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Entity Type | Individual
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Provider Name | ALEXIS F. TEPLICK MD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 1001 BLYTHE BLVD MEDICAL CENTER PLAZA, SUITE 601
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City | CHARLOTTE
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State | NC
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Zip | 28203-5866
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Country | US
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Telephone | 704-381-9900
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Fax | 704-381-8848
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Provider Business Mailing Address
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Address Line | PO BOX 601372
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City | CHARLOTTE
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State | NC
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Zip | 28260-1372
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Country | US
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Telephone | 704-381-9900
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Fax | 704-381-8848
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A90427
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2013-02163
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License Number State | NC
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