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General NPI Number Information
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NPI Number | 1679677850
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Entity Type | Organization
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Legal Business Name | ALEXANDER & PUCCI, LLC
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2855 EXCHANGE BLVD SUITE 109
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City | SOUTHLAKE
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State | TX
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Zip | 76092
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Country | US
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Telephone | 817-235-5611
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Fax | 817-656-1123
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Provider Business Mailing Address
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Address Line | 905 MONTREUX AVENUE
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City | COLLEVILLE
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State | TX
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Zip | 76034-7289
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Country | US
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Telephone | 817-235-5611
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Fax | 817-656-1123
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS MERRIE LESLIE ALEXANDER
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Credential | BSN, RN
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Telephone | 817-235-5611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 008630
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License Number State | TX
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