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General NPI Number Information
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NPI Number | 1093194219
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Entity Type | Individual
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Provider Name | ALEXANDRA JIMENEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 525 E 68TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 954-661-4552
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Fax | 954-938-2532
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Provider Business Mailing Address
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Address Line | 60 COMPASS IS
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-2008
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Country | US
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Telephone | 954-661-4552
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Fax | 954-938-2532
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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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | 277832-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 277832
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License Number State | NY
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