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General NPI Number Information
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NPI Number | 1669142113
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Entity Type | Individual
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Provider Name | ALEXA M DONOVAN PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 100 DUDLEY ST FL 2
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City | PROVIDENCE
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State | RI
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Zip | 02905-3233
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Country | US
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Telephone | 401-895-1859
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Fax | 401-889-5089
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Provider Business Mailing Address
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Address Line | 56 NASH LN
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City | ATTLEBORO
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State | MA
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Zip | 02703-2543
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Country | US
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Telephone | 401-523-5407
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | RPH05953
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License Number State | RI
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