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General NPI Number Information
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NPI Number | 1205419009
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Entity Type | Individual
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Provider Name | ALEXA JOYCE KREBS O'HARA MD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 1001 LEIGH ST AOP 11TH FLOOR
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City | RICHMOND
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State | VA
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Zip | 23298-5025
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Country | US
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Telephone | 804-828-8693
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Fax | 804-828-7567
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Provider Business Mailing Address
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Address Line | PO BOX 980257
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City | RICHMOND
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State | VA
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Zip | 23298-0257
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Country | US
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Telephone | 804-828-9783
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | VA0116035607
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License Number State | VA
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