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General NPI Number Information
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NPI Number | 1659834513
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Entity Type | Individual
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Provider Name | ALEXYS ALLEN MD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 116 WOODY DR
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City | BUTLER
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State | PA
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Zip | 16001-5692
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Country | US
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Telephone | 833-604-0435
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Fax | 724-282-7807
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Provider Business Mailing Address
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Address Line | 2621 S 3270 W
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-1119
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Country | US
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Telephone | 385-261-2614
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Fax | 877-497-4661
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD483018
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD483018
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License Number State | PA
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