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General NPI Number Information
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NPI Number | 1386636322
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Entity Type | Organization
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Legal Business Name | ALEXANDER ORTHOPEDIC LAB
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 660 E REGENT ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-1415
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Country | US
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Telephone | 310-674-9179
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Fax | 310-674-0120
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Provider Business Mailing Address
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Address Line | 660 E REGENT ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-1415
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Country | US
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Telephone | 310-674-9179
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Fax | 310-674-0120
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH JONES ALEXANDER
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Credential | CFO FAAOP
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Telephone | 310-674-9179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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