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General NPI Number Information
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NPI Number | 1386325744
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Entity Type | Individual
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Provider Name | ELLIS ALEXANDRA ARMOND
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Gender | Female
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 317 WESTERN BLVD
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6338
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Country | US
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Telephone | 910-577-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 IRIS DR APT 1312
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City | CHARLOTTE
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State | NC
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Zip | 28205-6092
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Country | US
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Telephone | 228-218-2333
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NC
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