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General NPI Number Information
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NPI Number | 1184078321
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Entity Type | Individual
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Provider Name | CAITLIN ALEXANDER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER BLVD DIVISION OF PATHOLOGY
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone | 267-426-7949
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 S 46TH ST # 201
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City | PHILADELPHIA
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State | PA
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Zip | 19143-3704
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number | MT219758
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License Number State | PA
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