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General NPI Number Information
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NPI Number | 1518816800
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Entity Type | Individual
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Provider Name | ALEJANDRO SERRANO
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Gender | Male
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 5135 SUNSET BLVD
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City | LEXINGTON
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State | SC
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Zip | 29072-6935
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Country | US
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Telephone | 803-821-7156
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Fax |
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Provider Business Mailing Address
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Address Line | 107 KNOX ABBOTT DR UNIT 1310
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City | CAYCE
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State | SC
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Zip | 29033-4407
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Country | US
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Telephone | 239-671-9795
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2585
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License Number State | SC
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