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General NPI Number Information
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NPI Number | 1790272383
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Entity Type | Individual
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Provider Name | ALEXA DESSY MD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 1101 CHESTNUT ST FL 10
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City | PHILADELPHIA
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State | PA
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Zip | 19107-3612
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Country | US
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Telephone | 215-955-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 181 E 73RD ST APT 17A
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City | NEW YORK
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State | NY
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Zip | 10021-3566
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Country | US
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Telephone | 646-258-2423
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD481904
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License Number State | PA
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