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General NPI Number Information
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NPI Number | 1225366537
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Entity Type | Individual
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Provider Name | TERRI ANN ALEXANDER L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 823 N LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503-3609
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Country | US
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Telephone | 937-717-4828
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Fax | 937-717-6539
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Provider Business Mailing Address
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Address Line | 3100 WINDY RIDGE DR
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City | SPRINGFIELD
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State | OH
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Zip | 45502-7212
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Country | US
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Telephone | 937-629-0177
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 33.016045
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License Number State | OH
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