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General NPI Number Information
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NPI Number | 1659848455
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Entity Type | Individual
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Provider Name | ALEXANDRA GRAL FNP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 13203 N 103RD AVE STE H5
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City | SUN CITY
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State | AZ
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Zip | 85351-3032
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Country | US
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Telephone | 623-777-4747
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5068
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City | SUN CITY WEST
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State | AZ
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Zip | 85376
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Country | US
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Telephone | 623-777-4747
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Fax | 623-777-4748
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2013024109
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 8789-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 255379
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License Number State | AZ
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