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General NPI Number Information
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NPI Number | 1164138335
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Entity Type | Individual
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Provider Name | ALEXIS CREPEZZI PRICE AGPCNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 312 S 4TH ST STE 700
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City | LOUISVILLE
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State | KY
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Zip | 40202-3046
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Country | US
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Telephone | 574-546-1900
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Fax | 574-546-1999
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Provider Business Mailing Address
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Address Line | 1201 11TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-3423
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Country | US
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Telephone | 615-574-0885
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 237154
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4023657
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4023657
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License Number State | KY
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