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General NPI Number Information
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NPI Number | 1679215388
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Entity Type | Individual
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Provider Name | ALEXANDRA KATE STOVICEK CNM, WHNP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2964 HYDRAULIC RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8902
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Country | US
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Telephone | 434-296-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S BOYLAN AVE
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City | RALEIGH
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State | NC
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Zip | 27603-1802
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Country | US
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Telephone | 919-833-7534
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0024193698
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License Number State | VA
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