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General NPI Number Information
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NPI Number | 1558467027
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Entity Type | Individual
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Provider Name | MICHAEL M ALEXIADES M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 523 E 72ND ST FL 7
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City | NEW YORK
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State | NY
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Zip | 10021-4099
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Country | US
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Telephone | 212-774-7557
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Fax | 212-774-7525
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Provider Business Mailing Address
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Address Line | 523 E 72ND ST FL 7
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City | NEW YORK
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State | NY
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Zip | 10021-4099
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Country | US
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Telephone | 212-774-7557
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Fax | 212-774-7525
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 158827
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License Number State | NY
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