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General NPI Number Information
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NPI Number | 1255594230
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Entity Type | Individual
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Provider Name | ALEXIS CHIANG COLVIN M.D
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 10/19/2012
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Provider Practice Location Address
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Address Line | 5 E. 98TH ST BOX 1188
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-1815
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Fax | 212-241-5965
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Provider Business Mailing Address
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Address Line | 5 E. 98TH ST BOX 1188
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-1815
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Fax | 212-241-5965
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 236322-1
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License Number State | NY
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