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General NPI Number Information
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NPI Number | 1699664789
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Entity Type | Individual
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Provider Name | ANTEA VANESSA ALEXANDER NP
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 55 LAKE AVE N
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City | WORCESTER
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State | MA
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Zip | 01655-0002
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Country | US
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Telephone | 774-441-8081
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Fax |
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Provider Business Mailing Address
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Address Line | 72 MAIN ST
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City | SUTTON
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State | MA
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Zip | 01590-1608
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Country | US
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Telephone | 774-214-6884
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Fax | 774-214-6884
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2321929
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License Number State | MA
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