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General NPI Number Information
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NPI Number | 1336874809
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Entity Type | Individual
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Provider Name | ALEXANDRA WIMBERLY
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Gender | Female
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 1201 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61104-2212
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Country | US
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Telephone | 815-962-2812
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Fax |
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Provider Business Mailing Address
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Address Line | 2322 ROSE AVE
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City | ROCKFORD
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State | IL
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Zip | 61102-3453
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Country | US
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Telephone | 815-997-8362
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 051304754
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License Number State | IL
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