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1851454391 NPI number — ELMORE DEAN ALEXANDER D.O.

NPI Number: 1851454391
Health Care Provider/Practitioner: ELMORE DEAN ALEXANDER D.O.

Information about “1851454391” NPI (ELMORE DEAN ALEXANDER D.O.) exists in 1851454391 in HTML format HTML  |  1851454391 in plain Text format TXT  |  1851454391 in PDF (Portable Document Format) PDF  |  1851454391 in an XML format XML  formats.

NPI Number : 1851454391 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851454391",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALEXANDER",
    "FirstName": "ELMORE",
    "MiddleName": "DEAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALEXANDER",
    "OtherFirstName": "ELMORE",
    "OtherMiddleName": "DEAN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.O.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "374 OSPREY PT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STONE MOUNTAIN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30087-6163",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-694-8258",
    "MailingAddressFaxNumber": "678-805-0077",
    "FirstLinePracticeLocationAddress": "374 OSPREY POINT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STONE MOUNTAIN",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30087-6163",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-694-8258",
    "PracticeLocationAddressFaxNumber": "678-805-0077",
    "EnumerationDate": "12/18/2006",
    "LastUpdateDate": "06/21/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "033908",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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