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General NPI Number Information
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NPI Number | 1104610526
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Entity Type | Individual
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Provider Name | ALEXA JAGGI
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Gender |
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1309 SALEM RD SW
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City | ROCHESTER
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State | MN
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Zip | 55902-0993
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Country | US
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Telephone | 507-322-3460
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Fax | 507-322-3450
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Provider Business Mailing Address
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Address Line | PO BOX 7197
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City | ROCHESTER
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State | MN
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Zip | 55903-7197
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Country | US
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Telephone | 507-322-3460
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5227
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13930
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License Number State | MN
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