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General NPI Number Information
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NPI Number | 1598622243
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Entity Type | Individual
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Provider Name | ALEXANDER RAYMOND REALE
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Gender | Male
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1851 MACGREGOR DOWNS RD
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City | GREENVILLE
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State | NC
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Zip | 27834-5925
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Country | US
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Telephone | 252-737-7703
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BASIN VIEW DR
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City | PITTSFORD
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State | NY
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Zip | 14534-1087
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Country | US
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Telephone | 585-362-2475
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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 | NC
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