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General NPI Number Information
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NPI Number | 1356205348
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Entity Type | Individual
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Provider Name | ALEXANDRA ALEXOPOULOS
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Gender | Female
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 27135 W WILMOT RD
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City | ANTIOCH
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State | IL
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Zip | 60002-9165
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Country | US
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Telephone | 224-603-2058
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Fax | 217-236-0801
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Provider Business Mailing Address
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Address Line | 49 MJ LN APT 2
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City | DE SOTO
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State | IL
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Zip | 62924-3561
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Country | US
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Telephone | 847-703-0643
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IL
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