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General NPI Number Information
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NPI Number | 1104852557
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Entity Type | Organization
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Legal Business Name | JEFF ALEXANDER, MD, PC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 04/10/2018
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Provider Practice Location Address
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Address Line | 6565 S YALE AVE STE 503
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City | TULSA
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State | OK
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Zip | 74136-8378
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Country | US
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Telephone | 918-494-8333
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Fax | 918-494-8334
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Provider Business Mailing Address
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Address Line | 6565 S YALE AVE STE 503
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City | TULSA
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State | OK
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Zip | 74136-8378
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Country | US
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Telephone | 918-494-8333
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Fax | 918-494-8334
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JEFF ALEXANDER
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Credential | MD
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Telephone | 918-494-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 11911
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License Number State | OK
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