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General NPI Number Information
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NPI Number | 1558679969
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Entity Type | Individual
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Provider Name | REGINA A ALEXANDER PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 540 RAYMOND RD
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City | JACKSON
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State | MS
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Zip | 39204-3600
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Country | US
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Telephone | 601-371-0468
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Fax |
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Provider Business Mailing Address
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Address Line | 880 WILLIAM BLVD #811
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City | RIDGELAND
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State | MS
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Zip | 39157-1588
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Country | US
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Telephone | 985-713-1533
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E010592
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License Number State | MS
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