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General NPI Number Information
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NPI Number | 1710866090
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Entity Type | Individual
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Provider Name | EMILY JOAN ALEXIS PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 2201 CHAPEL AVE W
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2048
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Country | US
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Telephone | 856-513-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 273 PAXSON LN
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City | LANGHORNE
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State | PA
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Zip | 19047-8216
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Country | US
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Telephone | 267-229-0316
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00968100
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License Number State | NJ
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