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General NPI Number Information
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NPI Number | 1639359151
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Entity Type | Organization
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Legal Business Name | ALEXANDER INTERNAL MEDICINE, PA
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 1300 LEXINGTON AVE
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City | THOMASVILLE
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State | NC
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Zip | 27360-3419
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Country | US
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Telephone | 336-475-9556
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Fax | 336-475-9672
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Provider Business Mailing Address
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Address Line | 1300 LEXINGTON AVE
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City | THOMASVILLE
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State | NC
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Zip | 27360-3419
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Country | US
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Telephone | 336-475-9556
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Fax | 336-475-9672
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Authorized Official
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Title or Position | OWNER
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Name | DR. HARRY A ALEXANDER
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Credential | M.D.
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Telephone | 336-475-9556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 31761
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License Number State | NC
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