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General NPI Number Information
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NPI Number | 1871337550
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Entity Type | Individual
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Provider Name | ALEXANDRA DUSEK DUSEK DC
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Gender | Female
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Dates
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Enumeration Date | 06/19/2024
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 14690 MEMORIAL DR
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City | HOUSTON
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State | TX
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Zip | 77079-7518
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Country | US
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Telephone | 281-531-7465
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 RICHMOND AVE APT 542
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City | HOUSTON
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State | TX
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Zip | 77098-3274
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Country | US
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Telephone | 210-842-8438
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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 | 16032
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License Number State | TX
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