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General NPI Number Information
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NPI Number | 1689760597
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Entity Type | Organization
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Legal Business Name | STANLEY J ALEXANDER MD INC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 1505 S BALDWIN AVE SUITE A
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City | ARCADIA
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State | CA
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Zip | 91007-7925
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Country | US
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Telephone | 626-446-1972
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 S BALDWIN AVE SUITE A
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City | ARCADIA
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State | CA
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Zip | 91007-7925
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Country | US
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Telephone | 626-446-1972
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STANLEY J ALEXANDER
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Credential | MD
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Telephone | 626-446-0194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A19343
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License Number State | CA
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