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General NPI Number Information
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NPI Number | 1790205011
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Entity Type | Individual
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Provider Name | ALEXANDRA DAVIS MOLCHAN APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 117 NW 42ND AVENUE #1412
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City | MIAMI
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State | FL
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Zip | 33126
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Country | US
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Telephone | 954-224-3495
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Fax |
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Provider Business Mailing Address
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Address Line | 117 NW 42ND AVE APT 1412
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City | MIAMI
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State | FL
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Zip | 33126-5438
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Country | US
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Telephone | 954-224-3495
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP9327974
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License Number State | FL
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