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General NPI Number Information
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NPI Number | 1487371944
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Entity Type | Individual
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Provider Name | ALEXANDER OLEKSY
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Gender | Male
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 14070 CEDAR RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3216
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Country | US
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Telephone | 216-416-0026
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 TALL GRASS CIR APT 310
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City | STOW
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State | OH
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Zip | 44224-6911
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03440749
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License Number State | OH
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