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General NPI Number Information
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NPI Number | 1710444757
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Entity Type | Individual
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Provider Name | ALEXIS ALESSI
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Gender | Female
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Dates
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Enumeration Date | 02/26/2019
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 85 VERNON AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-5522
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Country | US
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Telephone | 516-578-6786
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Fax |
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Provider Business Mailing Address
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Address Line | 701 W 179TH ST APT 37
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City | NEW YORK
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State | NY
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Zip | 10033-6027
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Country | US
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Telephone | 516-578-6786
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 603523-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 603523
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License Number State | NY
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