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General NPI Number Information
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NPI Number | 1841753548
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Entity Type | Individual
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Provider Name | ALEXIS MADRID MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 2101 NAGLE RD
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City | ERIE
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State | PA
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Zip | 16510-2189
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Country | US
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Telephone | 814-877-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 334 E 36TH ST
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City | ERIE
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State | PA
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Zip | 16504-1612
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC021082
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License Number State | PA
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