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General NPI Number Information
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NPI Number | 1578409835
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Entity Type | Individual
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Provider Name | SHANNA ALEXANDER NP
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 7979 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2042
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Country | US
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Telephone | 317-621-2627
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Fax |
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Provider Business Mailing Address
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Address Line | 4090 FIELD MASTER CIR
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City | ZIONSVILLE
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State | IN
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Zip | 46077-8275
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IN
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