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General NPI Number Information
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NPI Number | 1336544345
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Entity Type | Individual
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Provider Name | ALEXANDRA TZELEPIS MANOLIS
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Gender | Female
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2799 W GRAND BOULEVARD NULL
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City | DETROIT
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State | MI
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Zip | 48267-2153
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Country | US
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Telephone | 313-916-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-874-4806
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Fax | 313-876-1305
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301512868
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 4301512868
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License Number State | MI
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