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General NPI Number Information
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NPI Number | 1215926373
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Entity Type | Individual
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Provider Name | AMARIN ALEXANDER MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 10/06/2017
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Provider Practice Location Address
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Address Line | 1350 S HICKORY ST HOLMES REGIONAL MEDICAL CENTER
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City | MELBOURNE
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State | FL
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Zip | 32901-3224
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Country | US
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Telephone | 321-434-1771
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Fax | 321-434-1774
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Provider Business Mailing Address
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Address Line | 4801 SOLITARY DR
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City | ROCKLEDGE
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State | FL
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Zip | 32955-6554
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Country | US
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Telephone | 321-434-4600
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Fax | 321-434-4662
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME83127
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME83127
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License Number State | FL
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