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General NPI Number Information
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NPI Number | 1639208721
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Entity Type | Individual
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Provider Name | ALEXANDRA ILMA REICHMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 726 4TH STREET RIDEOUT MEMORIAL HOSPITAL LABORATORY
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City | MARYSVILLE
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State | CA
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Zip | 95901
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Country | US
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Telephone | 530-749-4467
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Fax | 530-749-4578
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Provider Business Mailing Address
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Address Line | 1748 BRADLEY ESTATES DR
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City | YUBA CITY
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State | CA
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Zip | 95993-1644
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Country | US
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Telephone | 530-671-6138
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Fax | 530-749-4578
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | G56381
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License Number State | CA
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