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General NPI Number Information
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NPI Number | 1801745096
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Entity Type | Individual
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Provider Name | ALEXIS BACHELOR
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Gender | Female
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1328 S GRANDSTAFF DR
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City | AUBURN
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State | IN
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Zip | 46706-2661
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Country | US
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Telephone | 260-260-0311
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 S 800 W
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City | PLEASANT LAKE
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State | IN
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Zip | 46779-9763
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Country | US
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Telephone | 260-260-0311
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 17001678A
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License Number State | IN
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