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General NPI Number Information
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NPI Number | 1780003533
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Entity Type | Individual
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Provider Name | ALEXANDRA C CANTOR CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 302 SAINT CHARLES WAY
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City | YORK
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State | PA
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Zip | 17402
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Country | US
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Telephone | 717-812-2390
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Fax | 717-812-2388
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Provider Business Mailing Address
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Address Line | 950 WOODLAND ST
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4373
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Country | US
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Telephone | 717-988-8020
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Fax | 717-221-5567
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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 | SP013754
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License Number State | PA
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