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General NPI Number Information
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NPI Number | 1366940322
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Entity Type | Individual
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Provider Name | STACEY ANN ALEXANDER MSN, RN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 5039 FM 2920 RD
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City | SPRING
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State | TX
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Zip | 77388-3114
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Country | US
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Telephone | 281-453-7169
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Fax |
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Provider Business Mailing Address
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Address Line | 28714 PLEASANT CREEK CT
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City | KATY
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State | TX
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Zip | 77494-1540
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Country | US
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Telephone | 361-813-8721
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 765470
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP135523
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License Number State | TX
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