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NPI 1831552454

NPI 1831552454 : JUSTIN P ALEXANDER MD : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1831552454
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    Entity Type          |    Individual 
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    Provider Name        |    JUSTIN P ALEXANDER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/31/2016
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    1701 N SENATE BLVD 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46202-1239
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    Country              |    US
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    Telephone            |    317-577-4200
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    Fax                  |    317-577-9503
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Provider Business Mailing Address
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    Address Line         |    250 N SHADELAND AVE 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46219-4959
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    Country              |    US
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    Telephone            |    
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    MD210113
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    036-155886
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    85083-20
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    License Number State |    WI
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Taxonomy #4
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    01089031A
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    License Number State |    IN
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Taxonomy #5
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    Taxonomy Code        |    207LC0200X
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    Taxonomy Name        |    Critical Care Medicine (Anesthesiology) Physician
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    License Number       |    90892
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    License Number State |    GA
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