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General NPI Number Information
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NPI Number | 1659084986
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Entity Type | Individual
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Provider Name | ALEXIS SPEER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 01/02/2023
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Provider Practice Location Address
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Address Line | 4746 TWIN CITY HWY
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City | GROVES
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State | TX
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Zip | 77619-3038
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Country | US
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Telephone | 409-960-6394
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Fax |
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Provider Business Mailing Address
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Address Line | 6082 DANIEL DR APT 87
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City | BEAUMONT
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State | TX
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Zip | 77705-0623
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 71848
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License Number State | TX
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