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General NPI Number Information
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NPI Number | 1699425173
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Entity Type | Individual
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Provider Name | ALEXANDER KYI DO
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Gender | Male
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Dates
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Enumeration Date | 03/27/2022
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Last Update Date | 06/29/2025
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Provider Practice Location Address
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Address Line | 2200 RANDALLIA DR
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City | FORT WAYNE
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State | IN
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Zip | 46805-4638
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Country | US
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Telephone | 603-734-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 26W171 ROOSEVELT RD
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City | WHEATON
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State | IL
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Zip | 60187-6002
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Country | US
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Telephone | 630-462-4000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.080042
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 125.080042
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11023770A
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License Number State | IN
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