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General NPI Number Information
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NPI Number | 1740146422
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Entity Type | Individual
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Provider Name | ALEXANDER JAMES DOLLE
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Gender | Male
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 3128 SW BENNINGTON DR
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City | PORTLAND
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State | OR
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Zip | 97205-5832
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Country | US
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Telephone | 503-799-2076
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Fax |
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Provider Business Mailing Address
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Address Line | 3128 SW BENNINGTON DR
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City | PORTLAND
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State | OR
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Zip | 97205-5832
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Country | US
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Telephone | 503-799-2076
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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 | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number | 207163
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number | A033877
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License Number State | GA
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