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General NPI Number Information
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NPI Number | 1346561537
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Entity Type | Individual
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Provider Name | KELSEY NICHOLSON ALEXANDER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 7001 HODGSON MEMORIAL DR
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City | SAVANNAH
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State | GA
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Zip | 31406-2549
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Country | US
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Telephone | 912-513-5787
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 HODGSON MEMORIAL DR
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City | SAVANNAH
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State | GA
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Zip | 31406-2549
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Country | US
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Telephone | 912-513-5787
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 37323
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 074388
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License Number State | GA
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