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General NPI Number Information
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NPI Number | 1285475921
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Entity Type | Individual
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Provider Name | ALEXANDRA FAYE MATSIS NP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 202 JEFFERSON ST
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City | SANFORD
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State | NC
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Zip | 27330-5636
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Country | US
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Telephone | 919-842-5190
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Fax |
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Provider Business Mailing Address
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Address Line | 128 JENNISON RD
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City | MILFORD
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State | NH
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Zip | 03055-4260
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Country | US
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Telephone | 603-801-8870
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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 | 5020794
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | RN2353364
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License Number State | MA
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