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General NPI Number Information
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NPI Number | 1245175553
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Entity Type | Individual
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Provider Name | ALEXIS BETHEL NP
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Gender | Female
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 695 S DOBSON RD
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City | CHANDLER
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State | AZ
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Zip | 85224-5665
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Country | US
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Telephone | 480-821-2838
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Fax | 480-821-9444
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Provider Business Mailing Address
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Address Line | PO BOX 60691
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91716-0691
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Country | US
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Telephone | 480-245-6288
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Fax | 480-398-8090
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 218600
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License Number State | AZ
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