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General NPI Number Information
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NPI Number | 1427150424
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Entity Type | Individual
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Provider Name | ANGELICE L. ALEXANDER-MARTIN MD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 2975 DONNYLANE BLVD
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City | COLUMBUS
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State | OH
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Zip | 43235-3228
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Country | US
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Telephone | 614-442-2600
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Fax | 614-442-1600
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Provider Business Mailing Address
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Address Line | 2975 DONNYLANE BLVD
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City | COLUMBUS
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State | OH
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Zip | 43235-3228
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Country | US
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Telephone | 614-442-2600
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Fax | 614-442-1600
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35-080261
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 35080261
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | 35080261
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 35-080261
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License Number State | OH
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