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General NPI Number Information
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NPI Number | 1649973132
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Entity Type | Individual
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Provider Name | ALEXA VECCHIONE
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Gender | Female
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 121 BECKS WOODS DR STE 100
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City | BEAR
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State | DE
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Zip | 19701-3853
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Country | US
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Telephone | 302-261-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 LAKE SEYMOUR DR
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City | MIDDLETOWN
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State | DE
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Zip | 19709-4674
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Country | US
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Telephone | 201-452-5925
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C5-0012171
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License Number State | DE
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