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General NPI Number Information
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NPI Number | 1306326897
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Entity Type | Individual
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Provider Name | ALEXANDRA PARISE PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 151 RUTLEDGE AVE
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City | CHARLESTON
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State | SC
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Zip | 29425-8903
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Country | US
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Telephone | 443-822-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 RIVER HAVEN CIR APT C
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City | CHARLESTON
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State | SC
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Zip | 29412-4118
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Country | US
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Telephone | 443-822-9000
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2021-0010
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10272
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110009327
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3064
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License Number State | SC
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