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General NPI Number Information
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NPI Number | 1346983228
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Entity Type | Individual
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Provider Name | ALEXANDER LLOYD PTA
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Gender | Male
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 73 E FORREST AVE STE 210
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City | SHREWSBURY
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State | PA
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Zip | 17361-1400
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Country | US
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Telephone | 717-812-5601
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Fax |
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Provider Business Mailing Address
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Address Line | 457 RUSHMORE DR
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City | YORK
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State | PA
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Zip | 17402-5035
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TEI005123
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License Number State | PA
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