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General NPI Number Information
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NPI Number | 1841922416
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Entity Type | Individual
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Provider Name | ALEXANDRA ALISE PAUL DC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2022
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 13900 7TH ST
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City | OSSEO
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State | WI
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Zip | 54758-7401
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Country | US
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Telephone | 715-530-4080
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Fax | 833-922-1075
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Provider Business Mailing Address
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Address Line | 1390 COVENTRY LN APT 2
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-3088
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Country | US
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Telephone | 908-566-6336
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6001-12
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License Number State | WI
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