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General NPI Number Information
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NPI Number | 1275373474
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Entity Type | Individual
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Provider Name | ALEXANDRA MPITSOS CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 80 SEYMOUR ST
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City | HARTFORD
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State | CT
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Zip | 06106-3300
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Country | US
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Telephone | 860-545-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 99 E RIVER DRIVE 5TH FLOOR
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City | EAST HARTFORD
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State | CT
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Zip | 06108
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Country | US
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Telephone | 860-282-0833
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 181332
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN10021240
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 10035035
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN04514
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License Number State | RI
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