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General NPI Number Information
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NPI Number | 1649741604
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Entity Type | Organization
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Legal Business Name | NEVILLE A ALEXANDER DPM PC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 535 ASTON HALL WAY
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City | ALPHARETTA
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State | GA
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Zip | 30022-6634
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Country | US
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Telephone | 678-520-7920
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Fax |
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Provider Business Mailing Address
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Address Line | 535 ASTON HALL WAY
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City | ALPHARETTA
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State | GA
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Zip | 30022-6634
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Country | US
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Telephone | 678-520-7920
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Fax |
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Authorized Official
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Title or Position | DPM
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Name | NEVILLE ALEXANDER
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Credential |
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Telephone | 678-520-7920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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