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NPI 1457974875

NPI 1457974875 : ALEXANDRA CAITLIN NEAL MD : RICHMOND, KY

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General NPI Number Information
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    NPI Number           |    1457974875
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDRA CAITLIN NEAL MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/20/2020
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    Last Update Date     |    06/20/2025
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Provider Practice Location Address
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    Address Line         |    103 ALYCIA DR 
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    City                 |    RICHMOND
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    State                |    KY
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    Zip                  |    40475-2368
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    Country              |    US
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    Telephone            |    859-624-6515
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    Fax                  |    859-624-6514
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Provider Business Mailing Address
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    Address Line         |    103 ALYCIA DR 
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    City                 |    RICHMOND
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    State                |    KY
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    Zip                  |    40475-2368
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    Country              |    US
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    Telephone            |    859-624-6515
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    Fax                  |    859-624-6514
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    60748
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    License Number State |    KY
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