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General NPI Number Information
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NPI Number | 1518731256
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Entity Type | Individual
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Provider Name | ALEXANDRA LAIN DPT
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 555 10TH ST NW
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City | ATLANTA
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State | GA
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Zip | 30318-5713
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Country | US
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Telephone | 404-477-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 4968 LOUISA DR
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City | NEW ORLEANS
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State | LA
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Zip | 70126-3516
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Country | US
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Telephone | 504-421-1991
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State | LA
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