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General NPI Number Information
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NPI Number | 1255882809
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Entity Type | Individual
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Provider Name | ALEXIS BARRETTA R.N.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 8900 STATE ROUTE 365
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City | STITTVILLE
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State | NY
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Zip | 13469
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Country | US
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Telephone | 315-865-7266
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Fax | 315-865-7284
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Provider Business Mailing Address
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Address Line | 9601 MAIN ST
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City | HOLLAND PATENT
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State | NY
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Zip | 13354-4618
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Country | US
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Telephone | 315-865-7266
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Fax | 315-865-7284
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 702721-1
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License Number State | NY
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