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General NPI Number Information
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NPI Number | 1538805296
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Entity Type | Individual
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Provider Name | ALEXIUS JADE RAMSEY
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Gender | Female
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2102 WEBERWOOD DR
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25303-3015
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Country | US
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Telephone | 304-812-7161
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 MACCORKLE AVE SE STE 411
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City | CHARLESTON
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State | WV
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Zip | 25304-1230
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Country | US
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Telephone | 304-343-4400
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2704
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License Number State | WV
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