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General NPI Number Information
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NPI Number | 1407161854
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Entity Type | Organization
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Legal Business Name | ALEXANDER I DEVER III MD PA
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 1500 SHALLCROSS AVE 2ND FLOOR, SUITE A
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City | WILMINGTON
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State | DE
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Zip | 19806-3037
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Country | US
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Telephone | 302-421-9330
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Fax | 302-475-6744
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Provider Business Mailing Address
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Address Line | 1500 SHALLCROSS AVE 2ND FLOOR, SUITE A
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City | WILMINGTON
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State | DE
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Zip | 19806-3037
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Country | US
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Telephone | 302-421-9330
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Fax | 302-475-6744
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEX I DEVER III
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Credential | M.D.
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Telephone | 302-421-9330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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