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General NPI Number Information
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NPI Number | 1275308710
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Entity Type | Individual
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Provider Name | ALEXA PALLOTTI MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 2309 SANTA MARIA ST
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City | AUSTIN
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State | TX
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Zip | 78702-4617
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Country | US
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Telephone | 512-580-9204
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Fax |
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Provider Business Mailing Address
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Address Line | 8312 NAIRN DR
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City | AUSTIN
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State | TX
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Zip | 78749-3739
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Country | US
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Telephone | 860-818-6388
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1133341
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License Number State | TX
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