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General NPI Number Information
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NPI Number | 1588554885
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Entity Type | Individual
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Provider Name | ALEXA CAROLE PLENTZAS
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Gender | Female
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 15 VILLAGE SQ
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City | CHELMSFORD
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State | MA
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Zip | 01824-2712
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Country | US
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Telephone | 978-800-1680
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Fax |
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Provider Business Mailing Address
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Address Line | 13 MOCCASIN PATH
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City | ATKINSON
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State | NH
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Zip | 03811-2360
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Country | US
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Telephone | 603-548-1590
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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