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General NPI Number Information
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NPI Number | 1497408348
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Entity Type | Individual
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Provider Name | ALEXIS S DUBOIS
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Gender | Female
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2001 BUTTERFIELD RD STE 750
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1051
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Country | US
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Telephone | 888-861-1929
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Fax |
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Provider Business Mailing Address
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Address Line | 200 OCEANGATE STE 100
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City | LONG BEACH
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State | CA
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Zip | 90802-4317
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 907519
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95030861
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61565849
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.024622
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License Number State | IL
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