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General NPI Number Information
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NPI Number | 1467935213
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Entity Type | Individual
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Provider Name | ALEXIS GETCHELL PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 655 W 8TH ST # C-3
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6511
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Country | US
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Telephone | 904-244-3508
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Fax |
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Provider Business Mailing Address
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Address Line | 3791 COASTAL COVE CIR
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City | JACKSONVILLE
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State | FL
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Zip | 32224-0002
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Country | US
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Telephone | 386-451-8463
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9111663
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License Number State | FL
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