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General NPI Number Information
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NPI Number | 1700115466
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Entity Type | Individual
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Provider Name | ALEXANDRA LEE FANDETTI-ROBIN D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 24 PUTNAM PIKE UNIT 3
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City | DAYVILLE
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State | CT
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Zip | 06241-1608
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Country | US
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Telephone | 860-412-9016
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Fax |
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Provider Business Mailing Address
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Address Line | 24 PUTNAM PIKE STE 3
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City | DAYVILLE
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State | CT
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Zip | 06241-1647
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Country | US
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Telephone | 860-412-9016
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Fax | 860-412-9053
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1905
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DCP00588
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License Number State | RI
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