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General NPI Number Information
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NPI Number | 1215583448
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Entity Type | Individual
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Provider Name | ALEXIS PAWLEWICZ PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 215 DELAWARE ST
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City | WALTON
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State | NY
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Zip | 13856-1019
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Country | US
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Telephone | 607-865-7147
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Fax |
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Provider Business Mailing Address
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Address Line | 39 JANE LACEY DR APT S
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City | ENDICOTT
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State | NY
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Zip | 13760-3743
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Country | US
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Telephone | 315-380-2406
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 065662
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License Number State | NY
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