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General NPI Number Information
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NPI Number | 1477937787
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Entity Type | Individual
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Provider Name | ALEXANDRIA MCINTOSH FNP
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Gender | Female
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 3401 WESTOVER DR STE 1-2
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City | DANVILLE
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State | VA
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Zip | 24541-5469
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Country | US
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Telephone | 434-207-2329
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Fax | 413-235-4806
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Provider Business Mailing Address
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Address Line | 3643 N ROXBORO ST
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City | DURHAM
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State | NC
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Zip | 27704-2702
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Country | US
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Telephone | 919-470-4000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5007766
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024178942
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License Number State | VA
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