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General NPI Number Information
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NPI Number | 1821508284
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Entity Type | Individual
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Provider Name | ALEXA NICOLE HARKEMA PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 11800 E 12 MILE RD
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City | WARREN
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State | MI
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Zip | 48093-3472
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Country | US
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Telephone | 586-576-4904
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Fax | 586-573-5953
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Provider Business Mailing Address
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Address Line | 35689 HUNTER AVE
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City | WESTLAND
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State | MI
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Zip | 48185-6662
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Country | US
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Telephone | 313-623-9592
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601008409
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License Number State | MI
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