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General NPI Number Information
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NPI Number | 1144648502
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Entity Type | Individual
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Provider Name | ALEXIS D LIGHT MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 700 S WASHINGTON ST STE 330
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4252
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Country | US
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Telephone | 703-940-3364
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Fax | 703-717-4055
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Provider Business Mailing Address
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Address Line | 700 S WASHINGTON ST STE 330
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4252
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Country | US
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Telephone | 703-940-3364
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Fax | 703-717-4055
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | MD045985
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 0101264717
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License Number State | VA
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