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General NPI Number Information
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NPI Number | 1629616909
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Entity Type | Individual
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Provider Name | ALEXIS THATCHER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 2 HEALTH CENTER DR
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City | ATHENS
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State | OH
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Zip | 45701-2907
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Country | US
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Telephone | 740-593-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 75 HOSPITAL DR STE 130
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City | ATHENS
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State | OH
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Zip | 45701-2858
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Country | US
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Telephone | 740-566-4690
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Fax | 740-566-4691
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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 | 03337602
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License Number State | OH
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