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General NPI Number Information
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NPI Number | 1255464590
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Entity Type | Individual
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Provider Name | ALEXANDER MARKOVICH MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 1150 N 35TH AVE SUITE 620
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5424
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Country | US
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Telephone | 954-989-9553
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Fax | 954-989-9607
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Provider Business Mailing Address
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Address Line | 1150 N 35TH AVE SUITE 620
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5424
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Country | US
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Telephone | 954-989-9553
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Fax | 954-989-9607
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME99263
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 234498
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License Number State | NY
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