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General NPI Number Information
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NPI Number | 1629520010
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Entity Type | Individual
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Provider Name | EVA ALEXANDER
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Gender | Female
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Dates
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Enumeration Date | 11/01/2016
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 16913 LAKESIDE DR STE 11
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City | MONTVERDE
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State | FL
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Zip | 34756-3230
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Country | US
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Telephone | 407-544-2351
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Fax |
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Provider Business Mailing Address
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Address Line | 2063 NE 58TH ST
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City | OCALA
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State | FL
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Zip | 34479-7125
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Country | US
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Telephone | 325-423-0400
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 278906
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License Number State | FL
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