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General NPI Number Information
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NPI Number | 1104167493
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES ALEXANDER D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 1755 N MECKLENBURG AVE
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City | SOUTH HILL
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State | VA
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Zip | 23970-4080
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Country | US
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Telephone | 434-584-5412
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Fax |
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Provider Business Mailing Address
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Address Line | 327 BEACH 19TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4423
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Country | US
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Telephone | 718-869-7000
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102203926
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License Number State | VA
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