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General NPI Number Information
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NPI Number | 1336965821
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Entity Type | Individual
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Provider Name | ALEXIS KENNEDY REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 2333 HARVARD ROAD
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City | BEACHWOOD
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State | OH
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Zip | 44122-4412
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Country | US
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Telephone | 216-593-2200
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Fax | --
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Provider Business Mailing Address
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Address Line | 26900 GEORGE ZEIGER DR APT 411
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City | BEACHWOOD
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State | OH
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Zip | 44122-7612
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Country | US
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Telephone | 216-776-8850
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 527674
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License Number State | OH
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