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General NPI Number Information
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NPI Number | 1144768979
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Entity Type | Individual
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Provider Name | ALEXANDRA JEAN BAPTISTE MD,PA
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Gender | Female
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 233 HANCOCK ST
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City | BOSTON
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State | MA
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Zip | 02125-2147
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Country | US
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Telephone | 888-774-6306
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Fax | 888-731-6233
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Provider Business Mailing Address
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Address Line | 42 EASTERN AVE
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City | MALDEN
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State | MA
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Zip | 02148-5014
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Country | US
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Telephone | 781-605-3438
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Fax | 781-605-3681
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 888
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 888-PA
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License Number State | GA
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