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General NPI Number Information
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NPI Number | 1538451786
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Entity Type | Individual
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Provider Name | ALEXIS K MASBOU MD
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Gender | Female
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 3030 WESTCHESTER AVE
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City | PURCHASE
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State | NY
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Zip | 10577-2574
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Country | US
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Telephone | 914-607-6270
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Fax |
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Provider Business Mailing Address
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Address Line | 800 WESTCHESTER AVE STE N715
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City | RYE BROOK
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State | NY
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Zip | 10573-1369
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Country | US
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Telephone | 914-607-5730
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Fax | 914-457-1195
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 280669
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License Number State | NY
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