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General NPI Number Information
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NPI Number | 1215228069
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Entity Type | Individual
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Provider Name | ALEXANDRA GIANNINI MS, ATC, LAT, CSCS
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Gender | Female
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 2240 PALM BEACH LAKES BLVD STE. 225
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3410
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Country | US
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Telephone | 561-684-8774
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Fax |
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Provider Business Mailing Address
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Address Line | 231 BOBWHITE RD
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1718
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Country | US
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Telephone | 561-784-5904
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | AL2663
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License Number State | FL
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